Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Fairfield, IL

In Fairfield, IL, 1 hospital lists a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $152.00 to $152.00, with a median of $152.00. Across Illinois, the median is $307.70 at 95 hospitals.

Cash prices at 1 facility 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 Mar 24, 2026 and Mar 24, 2026.

Lowest$152.00Fairfield Memorial Hospital

Median$152.00half of hospitals charge less

Highest$152.00in this market

Difference1.0×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 Fairfield, IL.

median

Lowest $152.00Highest $276.80

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Fairfield Memorial Hospital lowest Fairfield, IL · (618) 842-2611 WF PT RE-EVALUATION File of Mar 24, 2026 · source file	$152.00	$190.00	$45.60–$311.40	20%
Fairfield Memorial Hospital Fairfield, IL · (618) 842-2611 WF- PT EVAL File of Mar 24, 2026 · source file	$276.80	$346.00	$45.60–$311.40	20%

Hospital The hospital that published the price, its city and the line exactly as written in its price file.

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Off list How much lower the cash price is than the list price.

Outpatient: lowest $152.00, median $152.00, highest $152.00.

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.