Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in Waterbury, CT — inpatient

In Waterbury, CT, 2 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $312.55 to $362.45, with a median of $337.50. The lowest listed price is at UConn Health, Waterbury Hospital — $24.95 less than the median here. Across Connecticut, the median is $362.45 at 15 hospitals.

Cash prices at 2 facilities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and May 13, 2026.

Lowest$312.55UConn Health, Waterbury Hospital
Median$337.50half pay less
Highest$362.45in this market
Difference1.2×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 Waterbury, CT.

median
Lowest $312.55Highest $362.45

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UConn Health, Waterbury Hospital lowest Waterbury, CT · (203) 573-6000 PT Evaluation Units Moderate Complexity $312.55 $625.10 — 50% May 13, 2026
source file
Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Pt Evaluation Moderate Complexity Patient/Family $362.45 $659.00 $91.82–$659.00 45% Mar 31, 2026
source file

Inpatient: lowest $312.55, median $337.50, highest $362.45 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $337.50 — that is the price to compare if you are not being admitted.

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.