Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 57 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $45.00 to $757.00, with a median of $211.46. The lowest listed price is at Advocate Trinity Hospital and 4 other hospitals — $166.46 less than the median here. Across Illinois, the median is $342.25 at 92 hospitals.

  • The median here, $211.46, is 18% below the US median of $257.45.
  • That is 2.2× Medicare's 2026 national rate for the same service ($97.86).
  • 11 of 57 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 57 facilities across 43 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 10, 2026; the hospital files themselves were last updated between Jan 1, 2025 and Nov 6, 2026.

Lowest$45.00Advocate Trinity Hospital + 4 more
Median$211.46half of hospitals charge less
Highest$757.00in this market
Difference16.8×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 Chicago-Naperville-Elgin, IL-IN.

median
Lowest $45.00Highest $757.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Advocate Trinity Hospital lowest Chicago, IL · (773) 967-5002 PEDS PT EVAL HGH COMP/15 PA ONLY File of Nov 3, 2026 · source file $45.00 $90.00 $35.46–$465.00 50%
Advocate Childrens Hospital Park Ridge lowest Park Ridge, IL PEDS PT EVAL HGH COMP/15 PA ONLY File of Nov 6, 2026 · source file $45.00 $90.00 $35.46–$465.00 50%
Advocate Condell Medical Center lowest Libertyville, IL · (847) 362-2900 PEDS PT EVAL HGH COMP/15 PA ONLY File of Nov 3, 2026 · source file $45.00 $90.00 $35.46–$363.23 50%
Advocate Good Samaritan Hospital lowest Downers Grove, IL · (630) 275-5900 PEDS PT EVAL HGH COMP/15 PA ONLY File of Nov 3, 2026 · source file $45.00 $90.00 $35.46–$465.00 50%
Advocate Childrens Hospital Oak Lawn lowest Oak Lawn, IL PEDS PT EVAL HGH COMP/15 PA ONLY File of Nov 3, 2026 · source file $45.00 $90.00 $35.46–$465.00 50%
Saint Francis Hospital Evanston, IL · (847) 316-4000 HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN File of Sep 1, 2026 · source file $98.00 $441.00 $88.20–$366.03 78%
Mercy Medical Center Aurora, IL · (630) 859-2222 PT EVAL HIGH COMPLEXITY File of Sep 1, 2026 · source file $99.00 $745.00 $94.76–$745.00 87%
Saint Joseph Medical Center - Joliet Joliet, IL · (815) 725-7133 PT EVAL HIGH COMPLEXITY+1 more line at this price File of Sep 1, 2026 · source file $99.00 $802.00 $94.76–$802.00 88%
Franciscan Health Munster Munster, IN · (219) 922-4200 Pt Eval High Complex 45 Min File of Jan 1, 2026 · source file $103.09 $484.00 $94.80–$363.00 79%
Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $106.25 $425.00 — 75%
Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $106.25 $425.00 — 75%
Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $106.25 $425.00 — 75%
Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $106.25 $425.00 — 75%
Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 Pt Eval High Complex 45 Min File of Jan 1, 2026 · source file $106.81 $414.00 $414.00 74%
Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 New Eval Pt High Complexity File of Mar 31, 2026 · source file $112.48 $592.00 $216.00–$219.00 81%
MacNeal Hospital Berwyn, IL · (708) 783-9100 New Eval Pt High Complexity File of Mar 31, 2026 · source file $112.48 $592.00 $21.70–$537.06 81%
Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 Pt Eval High Complex 45 Min File of Jan 1, 2026 · source file $114.92 $321.00 $80.25–$256.80 64%
Advocate Sherman Hospital Elgin, IL · (847) 742-9800 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$363.23 50%
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate South Suburban Hospital Hazel Crest, IL PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Trinity Hospital Chicago, IL · (773) 967-5002 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$363.23 50%
Advocate Childrens Hospital Park Ridge Park Ridge, IL PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 6, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 PT EVAL HIGH COMP PER 15 PA ONLY File of Nov 3, 2026 · source file $117.50 $235.00 $92.59–$465.00 50%
Loyola University Medical Center Maywood, IL · (708) 216-9000 New Eval Pt High Complexity File of Mar 31, 2026 · source file $136.16 $592.00 $203.65–$623.97 77%
Loretto Hospital Chicago, IL · (773) 626-4300 PT EVAL HIGH COMPLEX 45 MIN File of Nov 5, 2026 · source file $140.91 $234.85 $140.91–$234.85 40%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 Pace Pt Eval High Complex; 45 Min File of Jan 1, 2026 · source file $145.53 $539.00 $94.80–$404.25 73%
Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC PT EVAL HIGH COMPLEXITY+1 more line at this price File of Jan 1, 2026 · source file $145.53 $441.00 $98.56–$260.19 67%
John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 PT EVAL - HIGH COMPLEXITY File of Apr 1, 2026 · source file $176.40 $252.00 $82.22–$201.60 30%
Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 PT Evaluation Units, High Complexity+1 more line at this price File of Mar 17, 2025 · source file $211.46 $621.93 $82.99–$404.25 66%
La Rabida Children's Hospital Chicago, IL · (773) 363-6700 PT EVALUATION-HIGH COMPLEXITY File of Apr 1, 2026 · source file $214.95 $214.95 — —
Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 PT EVAL HIGH COMPLEXITY+1 more line at this price File of Nov 3, 2026 · source file $220.00 $440.00 $144.60–$363.23 50%
Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $144.60–$465.00 50%
Advocate Childrens Hospital Oak Lawn Oak Lawn, IL PT EVAL HIGH COMPLEXITY+1 more line at this price File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 PT EVAL HIGH COMPLEXITY+1 more line at this price File of Nov 3, 2026 · source file $220.00 $440.00 $144.60–$465.00 50%
Advocate Childrens Hospital Park Ridge Park Ridge, IL PT EVAL HIGH COMPLEXITY+1 more line at this price File of Nov 6, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Trinity Hospital Chicago, IL · (773) 967-5002 PT EVAL HIGH COMPLEXITY+1 more line at this price File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate South Suburban Hospital Hazel Crest, IL PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $143.39–$465.00 50%
Advocate Sherman Hospital Elgin, IL · (847) 742-9800 PT EVAL HIGH COMPLEXITY File of Nov 3, 2026 · source file $220.00 $440.00 $144.60–$396.00 50%
Franciscan Health Dyer Dyer, IN · (219) 865-2141 Pt Eval High Complex 45 Min File of Jan 1, 2026 · source file $227.61 $843.00 $94.80–$632.25 73%
Methodist Hospital-Southlake Merrillville, IN · (219) 886-4000 HC Pt Eval High Complex 45 Min+1 more line at this price File of Aug 18, 2026 · source file $228.90 $327.00 $94.33–$448.25 30%
The Methodist Hospitals Gary, IN · (219) 886-4000 HC Pt Eval High Complex 45 Min+1 more line at this price File of Aug 18, 2026 · source file $228.90 $327.00 $94.33–$448.25 30%
NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Pt Evaluation High Complex 45 Mins File of Jan 1, 2025 · source file $232.05 $357.00 $48.20–$194.92 35%
NorthShore University HealthSystems Skokie Hospital Skokie, IL Pt Evaluation High Complex 45 Mins File of Jan 1, 2025 · source file $232.05 $357.00 $48.20–$194.92 35%
Roseland Community Hospital Chicago, IL · (773) 995-3000 Evaluation for physical therapy, typically 45 minutes File of Jul 1, 2026 · source file $237.86 $180.00 $90.00–$237.86 -32%
Northwest Health - Porter Valparaiso, IN · (219) 983-8300 PT EVAL- HGH COMP - REDOC 182+3 more lines at this price File of Apr 1, 2026 · source file $238.14 $882.00 $83.82–$740.88 73%
Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 PT Evaluation Units, High Complexity+1 more line at this price File of Mar 17, 2025 · source file $273.72 $805.06 $82.99–$523.29 66%
Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Pt Eval High Complex File of Apr 1, 2026 · source file $342.00 $342.00 — —
Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake, IL · (792) 220-5500 HC PT EVAL HIGH COMPLEX File of Mar 1, 2026 · source file $357.21 $476.28 — 25%
Mercyhealth Hospital & Medical Center - Harvard Harvard, IL · (815) 943-5431 HC PT EVAL HIGH COMPLEX File of Mar 1, 2026 · source file $400.07 $533.43 — 25%
Endeavor Health Highland Park Hospital Highland Park, IL HB PT EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $402.00 $402.00 — —
Swedish Covenant Health Chicago, IL · (773) 878-8200 HB PT EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $402.00 $402.00 — —
Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB PT EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $402.00 $402.00 — —
The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Physical Therapy High Complex 45 Min File of Apr 1, 2026 · source file $434.00 $434.00 — —
Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $116.75–$638.00 30%
Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $123.77–$731.50 30%
Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $102.08–$638.00 30%
Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $44.02–$638.00 30%
Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $123.13–$638.00 30%
Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $44.02–$638.00 30%
Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $105.91–$638.00 30%
Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Pt Eval High Complex File of Apr 1, 2026 · source file $446.60 $638.00 $95.06–$638.00 30%
Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Physical Therapy High Complex 45 Min File of Apr 1, 2026 · source file $482.00 $482.00 — —
Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 HC PHYSICAL THERAPY HIGH COMPLEX 45 MIN File of Apr 1, 2026 · source file $482.00 $482.00 — —
Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL HB Pt Eval High Complex File of Apr 1, 2026 · source file $731.50 $1,045.00 $438.90–$1,045.00 30%
Edward Hospital Naperville, IL · (630) 527-3000 HC PT EVAL HIGH COMPLEXITY File of Apr 1, 2026 · source file $757.00 $757.00 — —
Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC PT EVAL HIGH COMPLEXITY File of Apr 1, 2026 · source file $757.00 $757.00 — —
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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $45.00, median $211.46, highest $757.00 — a 16.8× difference within the same market.

As an inpatient, the same code is billed by 39 facilities here, median $145.53. 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 38 of 41 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 PT evaluation, high complexity is, what the price covers and why prices differ: PT evaluation, high complexity explained.