Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Chicago, IL

In Chicago-Naperville-Elgin, IL-IN, 48 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $42.50 to $757.00, with a median of $230.48. The lowest listed price is at Advocate Condell Medical Center and 4 other hospitals — $187.98 less than the median here. Across Illinois, the median is $232.05 at 60 hospitals.

Cash prices at 48 facilities across 36 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 Mar 17, 2025 and Sep 1, 2026.

Lowest$42.50Advocate Condell Medical Center + 4 more
Median$230.48half pay less
Highest$757.00in this market
Difference17.8×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 $42.50Highest $757.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Advocate Condell Medical Center lowest Libertyville, IL · (847) 362-2900 PEDS PT EVAL HGH COMP/15 PA ONLY $42.50 $85.00 $33.49–$295.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn lowest Oak Lawn, IL PEDS PT EVAL HGH COMP/15 PA ONLY $42.50 $85.00 $33.49–$469.00 50% Nov 4, 2025
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Advocate Trinity Hospital lowest Chicago, IL · (773) 967-5002 PEDS PT EVAL HGH COMP/15 PA ONLY $42.50 $85.00 $33.49–$469.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital lowest Downers Grove, IL · (630) 275-5900 PEDS PT EVAL HGH COMP/15 PA ONLY $42.50 $85.00 $33.49–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge lowest Park Ridge, IL PEDS PT EVAL HGH COMP/15 PA ONLY $42.50 $85.00 $33.49–$469.00 50% Nov 4, 2025
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Saint Francis Hospital Evanston, IL · (847) 316-4000 HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN $98.00 $441.00 $88.20–$366.03 78% Sep 1, 2026
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Mercy Medical Center Aurora, IL · (630) 859-2222 PT EVAL HIGH COMPLEXITY $99.00 $745.00 $94.76–$745.00 87% Sep 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $106.25 $425.00 — 75% Apr 1, 2026
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Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 New Eval Pt High Complexity $112.48 $592.00 $216.00–$219.00 81% Mar 31, 2026
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Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$295.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Sherman Hospital Elgin, IL · (847) 742-9800 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$268.00 50% Nov 4, 2025
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Advocate South Suburban Hospital Hazel Crest, IL PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL PT EVAL HIGH COMP PER 15 PA ONLY $112.50 $225.00 $88.65–$469.00 50% Nov 4, 2025
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Loyola University Medical Center Maywood, IL · (708) 216-9000 New Eval Pt High Complexity $136.16 $592.00 $203.65–$623.97 77% Mar 31, 2026
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Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC PT EVAL HIGH COMPLEXITY $145.53 $441.00 $98.56–$260.19 67% —
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Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC PT EVAL HIGH COMPLEXITY $145.53 $441.00 $98.56–$260.19 67% —
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 PT Evaluation Units, High Complexity $211.46 $621.93 $82.99–$404.25 66% Mar 17, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 PT Evaluation Units, High Complexity BCE $211.46 $621.93 $82.99–$404.25 66% Mar 17, 2025
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Advocate Sherman Hospital Elgin, IL · (847) 742-9800 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$382.50 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate South Suburban Hospital Hazel Crest, IL PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 PEDS PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$340.00 50% Nov 4, 2025
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Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$340.00 50% Nov 4, 2025
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Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 PEDS PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Trinity Hospital Chicago, IL · (773) 967-5002 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 PEDS PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Oak Lawn Oak Lawn, IL PEDS PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Childrens Hospital Park Ridge Park Ridge, IL PEDS PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 PT EVAL HIGH COMPLEXITY $212.50 $425.00 $146.09–$469.00 50% Nov 4, 2025
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La Rabida Children's Hospital|LaRabida Childrens Hospital Chicago, IL · (773) 363-6700 PT EVALUATION-HIGH COMPLEXITY $214.95 $214.95 — — Apr 1, 2026
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The Methodist Hospitals Gary, IN · (219) 886-4000 HC Newborn Pt Eval High Complex 45 Min $228.90 $327.00 $94.33–$448.25 30% —
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The Methodist Hospitals Gary, IN · (219) 886-4000 HC Pt Eval High Complex 45 Min $228.90 $327.00 $94.33–$448.25 30% —
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The Methodist Hospitals Merrillville, IN HC Pt Eval High Complex 45 Min $228.90 $327.00 $94.33–$448.25 30% —
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The Methodist Hospitals Merrillville, IN HC Newborn Pt Eval High Complex 45 Min $228.90 $327.00 $94.33–$448.25 30% —
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NorthShore University HealthSystems Skokie Hospital Skokie, IL Pt Evaluation High Complex 45 Mins $232.05 $357.00 $48.20–$194.92 35% —
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NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Pt Evaluation High Complex 45 Mins $232.05 $357.00 $48.20–$194.92 35% —
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NorthShore University HealthSystems Highland Park Hospital Highland Park, IL Pt Evaluation High Complex 45 Mins $232.05 $357.00 $48.20–$194.92 35% —
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NorthShore University HealthSystems Evanston Hospital Evanson, IL · (847) 570-2000 Pt Evaluation High Complex 45 Mins $232.05 $357.00 $48.20–$194.92 35% —
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Roseland Community Hospital Association Chicago, IL · (773) 995-3000 Evaluation for physical therapy, typically 45 minutes $237.86 $180.00 $90.00–$237.86 -32% Jul 1, 2026
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 PT Evaluation Units, High Complexity $273.72 $805.06 $82.99–$523.29 66% Mar 17, 2025
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Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 PT Evaluation Units, High Complexity BCE $273.72 $805.06 $82.99–$523.29 66% Mar 17, 2025
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Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Pt Eval High Complex $342.00 $342.00 — — Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB PT EVALUATION HIGH COMPLEX 45 MINS $402.00 $402.00 — — Apr 1, 2026
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Swedish Covenant Health Chicago, IL · (773) 878-8200 HB PT EVALUATION HIGH COMPLEX 45 MINS $402.00 $402.00 — — Apr 1, 2026
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Endeavor Health Clinical Operations Highland Park, IL HB PT EVALUATION HIGH COMPLEX 45 MINS $402.00 $402.00 — — Apr 1, 2026
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The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Physical Therapy High Complex 45 Min $434.00 $434.00 — — Apr 1, 2026
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Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Pt Eval High Complex $446.60 $638.00 $105.91–$638.00 30% Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Pt Eval High Complex $446.60 $638.00 $95.06–$638.00 30% Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Pt Eval High Complex $446.60 $638.00 $123.13–$638.00 30% Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB Pt Eval High Complex $446.60 $638.00 $116.75–$638.00 30% Apr 1, 2026
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Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Pt Eval High Complex $446.60 $638.00 $102.08–$638.00 30% Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich, IL · (815) 786-8484 HB Pt Eval High Complex $446.60 $638.00 $44.02–$638.00 30% Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Pt Eval High Complex $446.60 $638.00 $44.02–$638.00 30% Apr 1, 2026
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Uchicago Medicine Northwest Indiana Crown Point, IN · (312) 755-4706 HC PHYSICAL THERAPY HIGH COMPLEX 45 MIN $482.00 $482.00 — — Apr 1, 2026
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Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Physical Therapy High Complex 45 Min $482.00 $482.00 — — Apr 1, 2026
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Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton, IL HB Pt Eval High Complex $731.50 $1,045.00 $438.90–$1,045.00 30% Apr 1, 2026
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Edward Hospital Naperville, IL · (630) 527-3000 HC PT EVAL HIGH COMPLEXITY $757.00 $757.00 — — Apr 1, 2026
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Naperville Psychiatric Ventures Naperville, IL HC PT EVAL HIGH COMPLEXITY $757.00 $757.00 — — Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC PT EVAL HIGH COMPLEXITY $757.00 $757.00 — — Apr 1, 2026
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Outpatient: lowest $42.50, median $230.48, highest $757.00 — a 17.8× difference within the same market.

As an inpatient, the same code is billed by 33 facilities here, median $211.46. 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 28 of 33 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 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.