Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Cincinnati, OH — inpatient

In Cincinnati, OH-KY-IN, 10 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $184.80 to $291.21, with a median of $205.80. The lowest listed price is at University of Cincinnati Medical Center and 1 other hospital — $21.00 less than the median here. Across Ohio, the median is $315.00 at 83 hospitals.

Cash prices at 10 facilities across 5 cities for code 97163, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 1, 2026.

Lowest$184.80University of Cincinnati Medical Center + 1 more
Median$205.80half pay less
Highest$291.21in this market
Difference1.6×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 Cincinnati, OH-KY-IN.

median
Lowest $184.80Highest $291.21

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Cincinnati Medical Center lowest Cincinnati, OH · (513) 584-1000 Hc Pt Eval High Comp 45Min $184.80 $308.00 — 40% Jul 1, 2026
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West Chester Hospital lowest West Chester, OH · (513) 298-7701 Hc Pt Eval High Comp 45Min $184.80 $308.00 — 40% Jul 1, 2026
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Mercy Health Clermont Hospital Batavia, OH · (513) 732-8278 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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Mercy Health West Hospital Cincinnati, OH · (513) 215-5000 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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Mercy Health Anderson Hospital Cincinnati, OH · (513) 624-4500 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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Mercy Health Fairfield Hospital Fairfield, OH · (513) 870-7000 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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Mercy Health Kings Mills Hospital Mason, OH · (513) 637-9999 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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The Jewish Hospital-Mercy Health Cincinnati, OH · (513) 686-3000 HC Pt Eval High Complex $205.80 $343.00 — 40% —
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Bethesda North Cincinnati, OH · (513) 865-1111 HC Pt Eval High Complexity $281.16 $374.88 — 25% Apr 1, 2026
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aq> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Op> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Pr Physical Therapy Evaluation High Complex 45 Mins|Therapy $291.21 $571.00 $242.99–$461.08 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tp> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Pt Eval High Complex $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tech> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aac> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Eq> Pt Eval, High Complexity $291.21 $571.00 $274.08–$571.00 49% —
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Inpatient: lowest $184.80, median $205.80, highest $291.21 — a 1.6× difference within the same market.

As an outpatient, the same code is billed by 12 facilities here, median $196.20 — 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 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.