PT evaluation, mod. complexity cost in Worcester, MA
In Worcester, MA, 4 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $329.00 to $700.00, with a median of $496.00. The lowest listed price is at Milford Regional Medical Center — $167.00 less than the median here. Across Massachusetts, the median is $355.43 at 16 hospitals.
Cash prices at 4 facilities across 4 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 Mar 26, 2026 and Apr 3, 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 Worcester, MA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Milford Regional Medical Center lowest Milford, MA · (508) 473-1190 Moderate Comp Eval 15 Minutes | $329.00 | $329.00 | $329.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 15 Minutes | $346.00 | $346.00 | $346.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 30 Minutes | $346.00 | $346.00 | $346.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Comp Eval 60 Minutes | $362.00 | $362.00 | $362.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 45 Minutes | $362.00 | $362.00 | $362.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 75 Minutes | $378.00 | $378.00 | $378.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 60 Minutes | $378.00 | $378.00 | $378.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Comp Eval 75 Minutes | $394.00 | $394.00 | $394.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 90 Minutes | $394.00 | $394.00 | $394.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 105 Minute | $410.00 | $410.00 | $410.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Comp Eval 90 Minutes | $410.00 | $410.00 | $410.00 | — | — source file |
| UMass Memorial Health - Harrington Hospital Southbridge, MA · (508) 765-9771 HC Pt Evaluation Moderate Complexity | $426.00 | $426.00 | — | — | Apr 3, 2026 source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Comp Eval 105 Minutes | $427.00 | $427.00 | $427.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 120 Minute | $427.00 | $427.00 | $427.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Comp Eval 120 Minutes | $443.00 | $443.00 | $443.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 150 Minute | $459.00 | $459.00 | $459.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Moderate Compl Eval 180 Minute | $475.00 | $475.00 | $475.00 | — | — source file |
| Milford Regional Medical Center Milford, MA · (508) 473-1190 Pt eval mod complex 30 min | $475.00 | $475.00 | $76.57–$305.66 | — | — source file |
| UMass Memorial Medical Center Worcester, MA · (508) 334-1000 HC Pt Evaluation Moderate Complexity | $566.00 | $566.00 | — | — | Mar 26, 2026 source file |
| HealthAlliance - Clinton Hospital Leominster, MA · (978) 466-2000 HC Pt Evaluation Moderate Complexity | $700.00 | $700.00 | — | — | Mar 26, 2026 source file |
Outpatient: lowest $329.00, median $496.00, highest $700.00 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $496.00. 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 not 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.