Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Statesville, NC

In Statesville, NC, 1 hospital lists a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $59.54 to $59.54, with a median of $59.54. Across North Carolina, the median is $239.67 at 61 hospitals.

Cash prices at 1 facility for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Dec 31, 2025.

Lowest$59.54Iredell Davis Behavioral Health Hospital

Median$59.54half of hospitals charge less

Highest$59.54in 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 Statesville, NC.

median

Lowest $59.54Highest $154.00

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Iredell Davis Behavioral Health Hospital lowest Statesville, NC Re-evaluation for OT+2 more lines at this price File of Dec 31, 2025 · source file	$59.54	$85.05	$126.19–$252.38	30%
Iredell Davis Behavioral Health Hospital Statesville, NC Physical Therapy Evaluation Charge Medium Complexity (97162) File of Dec 31, 2025 · source file	$117.60	$168.00	$126.19–$252.38	30%
Iredell Davis Behavioral Health Hospital Statesville, NC Re-evaluation for PT+1 more line at this price File of Dec 31, 2025 · source file	$122.50	$175.00	$126.19–$252.38	30%
Iredell Davis Behavioral Health Hospital Statesville, NC Evaluation Charge Medicaid+1 more line at this price File of Dec 31, 2025 · source file	$140.00	$200.00	$126.19–$252.38	30%
Iredell Davis Behavioral Health Hospital Statesville, NC PT Evaluation Charge File of Dec 31, 2025 · source file	$142.80	$204.00	$126.19–$252.38	30%
Iredell Davis Behavioral Health Hospital Statesville, NC PT Evaluation Moderate Complexity+1 more line at this price File of Dec 31, 2025 · source file	$154.00	$220.00	$126.19–$252.38	30%

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.

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Outpatient: lowest $59.54, median $59.54, highest $59.54.

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 and 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.