PT evaluation, mod. complexity cost in Clear Lake, SD
In Clear Lake, SD, 1 hospital lists a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $280.00 to $280.00, with a median of $280.00. Across South Dakota, the median is $273.60 at 8 hospitals.
Cash prices at 1 facility 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 4, 2026 and Mar 4, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sanford Clear Lake Medical Center Clear Lake, SD · (605) 874-2141 PT EVAL MODERATE COMPLEXITY 97162 | $280.00 | $350.00 | $179.55–$325.47 | 20% | Mar 4, 2026 source file |
Outpatient: lowest $280.00, median $280.00, highest $280.00.
As an inpatient, the same code is billed by 1 facility here, median $280.00. 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 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.