Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Baltimore, MD

In Baltimore-Columbia-Towson, MD, 4 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $170.54 to $1,296.00, with a median of $186.07. The lowest listed price is at Greater Baltimore Medical Center — $15.53 less than the median here. Across Maryland, the median is $187.38 at 6 hospitals.

Cash prices at 4 facilities across 2 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$170.54Greater Baltimore Medical Center
Median$186.07half pay less
Highest$1,296.00in this market
Difference7.6×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 Baltimore-Columbia-Towson, MD.

median
Lowest $170.54Highest $1,296.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Greater Baltimore Medical Center lowest Towson, MD · (443) 849-2000 HC Pt Eval High Complexity Ea 15min $170.54 $174.02 $170.54–$174.02 2% —
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Mercy Medical Center Baltimore, MD · (410) 332-9237 HC PT EVAL COMP EA 15 MIN $180.22 $183.90 $183.90–$180.22 2% —
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Mt. Washington Pediatric Hospital Baltimore, MD · (410) 578-5050 PT Evaluation Intense $191.92 $195.84 $191.92–$195.84 2% —
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Mt. Washington Pediatric Hospital Baltimore, MD · (410) 578-5050 Tele PT Eval Intense or Comp $191.92 $195.84 $191.92–$195.84 2% —
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The Kennedy Krieger Institute Baltimore, MD · (443) 923-9301 HC PT EVAL; HIGH COMPLEXITY $1,296.00 $1,620.00 $102.64–$1,620.00 20% —
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Outpatient: lowest $170.54, median $186.07, highest $1,296.00 — a 7.6× difference within the same market.

As an inpatient, the same code is billed by 3 facilities here, median $180.22. 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 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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 high complexity, typically about 45 minutes face to face. It is used for an unstable or unpredictable problem, often with several other health conditions, such as after a major surgery or neurological illness.

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.