Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Burlington, VT — inpatient

In Burlington-South Burlington, VT, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $358.00 to $358.00, with a median of $358.00. Across Vermont, the median is $340.47 at 4 hospitals.

Cash prices at 1 facility for code 97163, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 28, 2026 and Apr 28, 2026.

Lowest$358.00University of Vermont - Fletcher Allen Health Care
Median$358.00half pay less
Highest$358.00in 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 Burlington-South Burlington, VT.

median
Lowest $358.00Highest $408.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Vermont - Fletcher Allen Health Care lowest Burlington, VT · (802) 847-0000 HC - PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $358.00 $358.00 $100.24–$322.20 — Apr 28, 2026
source file
University of Vermont - Fletcher Allen Health Care Burlington, VT · (802) 847-0000 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $408.00 $408.00 $66.69–$454.05 — Apr 28, 2026
source file

Inpatient: lowest $358.00, median $358.00, highest $358.00.

As an outpatient, the same code is billed by 1 facility here, median $358.00 — 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 not 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 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.