PT evaluation, mod. complexity cost in Utica, NY
In Utica-Rome, NY, 3 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $76.04 to $178.80, with a median of $122.32. The lowest listed price is at Little Falls Hospital — $46.28 less than the median here. Across New York, the median is $239.87 at 74 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 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Utica-Rome, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 HC Physical Therapy Eval Mod Complexity | $76.04 | $281.64 | $100.55–$99.56 | 73% | — source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Cc-pt evaluation moderate complexity | $122.32 | $303.00 | $95.46–$303.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Pt eval mod complex 30 min | $122.32 | $303.00 | $95.46–$303.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Cc-pt evaluation moderate complexity | $122.32 | $303.00 | $95.46–$303.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital Rome, NY · (315) 338-7000 Pt eval mod complex 30 min | $122.32 | $303.00 | $95.46–$303.00 | 60% | Aug 11, 2026 source file |
| Mvhs Utica, NY HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | 40% | — source file |
| Mvhs Utica, NY HC Pt Eval Moderate Complexity | $178.80 | $298.00 | $78.76–$274.27 | 40% | — source file |
Outpatient: lowest $76.04, median $122.32, highest $178.80 — a 2.4× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $150.56. 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 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. 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.