Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Cleveland, OH

In Cleveland, OH, 24 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $117.95 to $449.40, with a median of $385.33. The lowest listed price is at Metrohealth System — $267.38 less than the median here. Across Ohio, the median is $315.00 at 83 hospitals.

Cash prices at 24 facilities across 19 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 2026.

Lowest$117.95Metrohealth System
Median$385.33half pay less
Highest$449.40in this market
Difference3.8×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 Cleveland, OH.

median
Lowest $117.95Highest $449.40

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Metrohealth System lowest Cleveland, OH · (216) 778-7089 Hc Pt Eval High Complex 45 Min $117.95 $337.00 — 65% Apr 1, 2026
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Metrohealth System Cleveland, OH · (216) 778-7089 Pt Eval High Complex 45 Min $139.65 $399.00 — 65% Apr 1, 2026
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University Hospitals Conneaut Medical Center Conneaut, OH · (440) 593-1131 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $212.25 $283.00 $87.73–$267.44 25% Jul 14, 2026
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Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $212.25 $283.00 $56.60–$256.96 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $238.50 $318.00 $85.86–$286.20 25% Jul 14, 2026
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UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $238.50 $318.00 $93.86–$286.20 25% Jul 14, 2026
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Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 EVAL HIGH COMPLEXITY $279.00 $372.00 $40.00–$180.85 25% Jul 1, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $44.30–$356.40 25% Jul 14, 2026
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Parma Community General Hospital Parma, OH · (440) 743-3000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $93.86–$356.40 25% Jul 14, 2026
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University Hospitals Health System Willoughby, OH HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $53.50–$356.40 25% Jul 14, 2026
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University Hospitals - Elyria Medical Center Elyria, OH · (440) 329-7500 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $93.86–$356.40 25% Jul 14, 2026
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UH Regional Hospitals Chardon, OH · (440) 285-6246 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $93.86–$356.40 25% Jul 14, 2026
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UH St John Medical Center Westlake, OH · (440) 835-8000 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $93.86–$356.40 25% Jul 14, 2026
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Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $297.00 $396.00 $87.52–$356.40 25% Jul 14, 2026
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Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC Pt Eval High Complex $377.40 $629.00 — 40% —
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Marymount Hospital Garfield Heights, OH · (216) 587-8210 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $93.19–$139.07 35% Jun 16, 2026
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Cleveland Clinic Health System - East Region Euclid, OH PT EVAL - HIGH $393.25 $605.00 $81.27–$201.67 35% Jun 15, 2026
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Cleveland Clinic Health System - East Region Euclid, OH VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Lutheran Hospital Cleveland, OH · (216) 696-4300 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $84.68–$201.67 35% Jun 15, 2026
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South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 PT EVAL - HIGH $393.25 $605.00 $74.45–$290.41 35% Jun 15, 2026
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Medina Hospital Medina, OH · (330) 725-1000 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Lodi Community Hospital Lodi, OH · (330) 948-1222 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Fairview Hospital Cleveland, OH · (216) 476-7000 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 VV EVALUATION HIGH COMPLEXITY (97163) $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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Cleveland Clinic Children's Hospital for Rehabilitation Cleveland, OH · (216) 448-6400 PT EVAL - HIGH $393.25 $605.00 $171.09–$605.00 35% Jun 15, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 PT EVAL - HIGH $393.25 $605.00 $93.19–$139.07 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 VV EVALUATION HIGH COMPLEXITY PT (97163) $400.40 $616.00 $1.10–$336.91 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $400.40 $616.00 $1.10–$336.91 35% Jun 16, 2026
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The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 VV EVALUATION HIGH COMPLEXITY OT (97163) $400.40 $616.00 $1.10–$336.91 35% Jun 16, 2026
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Mercy Health Regional Medical Center Lorain, OH · (440) 960-4000 HC Pt Eval High Complex $449.40 $749.00 — 40% —
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Outpatient: lowest $117.95, median $385.33, highest $449.40 — a 3.8× difference within the same market.

As an inpatient, the same code is billed by 23 facilities here, median $393.25. 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 16 of 21 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.