Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Seaford, DE

In Seaford, DE, 3 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $238.00 to $275.52, with a median of $246.43. The lowest listed price is at Beebe Medical Center — $8.43 less than the median here. Across Delaware, the median is $260.98 at 6 hospitals.

Cash prices at 3 facilities across 3 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$238.00Beebe Medical Center
Median$246.43half pay less
Highest$275.52in this market
Difference1.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Seaford, DE.

median
Lowest $238.00Highest $275.52

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Beebe Medical Center lowest Lewes, DE · (302) 645-3300 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $238.00 $280.00 — 15% —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Pt Evaluatoin Moderate Complexity $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Evaluation Mod Complexity 53-67 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Evaluation Mod Complexity 68-82 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Evaluation Mod Complexity 8-22 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Evaluation Mod Complexity 23-37min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke Seaford, DE · (302) 629-6611 HC Evaluation Mod Complexity 38-52 Min $246.43 $246.43 $142.93–$259.43 — —
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Bayhealth Hospital, Sussex Campus Milford, DE · (302) 422-3311 Hc Telemedicine Pt Eval Mod Complex 30 Min $275.52 $328.00 — 16% Apr 1, 2026
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Bayhealth Hospital, Sussex Campus Milford, DE · (302) 422-3311 Hc Pt Eval Mod Complex 30 Min $275.52 $328.00 — 16% Apr 1, 2026
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Outpatient: lowest $238.00, median $246.43, highest $275.52 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $260.98. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is a first physical therapy evaluation of moderate complexity, typically about 30 minutes face to face. It is used when the problem is changing or other health conditions affect the plan of care.

What the price covers

The price covers the evaluation, billed once per evaluation rather than in time units. Treatment on the same day, such as therapeutic exercise or manual therapy, is billed separately in 15-minute units.