Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Charlotte, NC

In Charlotte-Concord-Gastonia, NC-SC, 14 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $142.83 to $529.00, with a median of $404.15. The lowest listed price is at Duke Health Lake Norman Hospital — $261.32 less than the median here. Across North Carolina, the median is $358.40 at 37 hospitals.

Cash prices at 14 facilities across 11 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 1, 2025 and May 11, 2026.

Lowest$142.83Duke Health Lake Norman Hospital
Median$404.15half pay less
Highest$529.00in this market
Difference3.7×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 Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $142.83Highest $529.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Duke Health Lake Norman Hospital lowest Mooresville, NC · (704) 660-4000 Pt Eval High Complex $142.83 $529.00 $174.83–$182.51 73% —
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Duke Health Lake Norman Hospital lowest Mooresville, NC · (704) 660-4000 HC PT EVAL HIGH COMPLEX $142.83 $529.00 $46.45–$343.85 73% —
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Duke Health Lake Norman Hospital lowest Mooresville, NC · (704) 660-4000 Pt Eval High Complex $142.83 $529.00 $174.83–$182.51 73% —
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MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB PT EVAL HIGH COMPLEX 45 MIN $323.50 $647.00 — 50% Apr 1, 2026
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MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB PT EVAL HIGH COMPLEX 45 MIN $377.00 $754.00 — 50% Apr 1, 2026
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Atrium Health Union Monroe, NC · (704) 283-3100 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $95.99–$767.89 50% Dec 4, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $80.83–$743.64 50% Dec 5, 2025
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Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $80.83–$784.05 50% Dec 5, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $52.45–$727.47 50% Dec 5, 2025
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Carolinas Rehabilitation Charlotte, NC HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $95.99–$743.64 50% Dec 5, 2025
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Carolinas Rehabilitation Belmont, NC HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $95.99–$743.64 50% Dec 5, 2025
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Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $95.99–$767.89 50% Dec 1, 2025
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Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $91.18–$767.89 50% Dec 1, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $52.45–$727.47 50% Dec 4, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $52.45–$743.64 50% Dec 4, 2025
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Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $153.58–$808.30 50% Dec 4, 2025
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Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $404.15 $808.30 $95.99–$767.89 50% Dec 1, 2025
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Gaston Memorial Hospital Gastonia, NC · (704) 834-4891 HCHG PT EVAL HIGH COMPLEXITY $529.00 $529.00 $79.61–$502.55 — May 11, 2026
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Gaston Memorial Hospital Mount Holly, NC HCHG PT EVAL HIGH COMPLEXITY $529.00 $529.00 $79.61–$502.55 — May 11, 2026
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Gaston Memorial Hospital Belmont, NC HCHG PT EVAL HIGH COMPLEXITY $529.00 $529.00 $79.61–$502.55 — May 11, 2026
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Outpatient: lowest $142.83, median $404.15, highest $529.00 — a 3.7× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $404.15. 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 9 of 12 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.