Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Denver, CO

In Denver-Aurora-Centennial, CO, 14 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $135.10 to $1,875.63, with a median of $838.99. The lowest listed price is at National Jewish Health — $703.89 less than the median here. Across Colorado, the median is $321.00 at 33 hospitals.

  • The median here, $838.99, is 226% above the US median of $257.45.
  • That is 8.6× Medicare's 2026 national rate for the same service ($97.86).
  • 10 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 14 facilities across 8 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 30, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Sep 1, 2026.

Lowest$135.10National Jewish Health
Median$838.99half of hospitals charge less
Highest$1,875.63in this market
Difference13.9×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 Denver-Aurora-Centennial, CO.

median
Lowest $135.10Highest $1,875.63

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
National Jewish Health lowest Denver, CO · (303) 388-4461 HC PT EVAL HIGH COMPLEXITY File of Mar 1, 2026 · source file $135.10 $193.00 $70.02–$213.59 30%
Denver Health and Hospital Authority Denver, CO · (303) 436-4927 HC PT EVAL HIGH COMPLEX 45 MIN File of Apr 30, 2026 · source file $143.88 $411.06 $101.36–$6,972.09 65%
Childrens Hospital Colorado Aurora, CO · (720) 777-1234 HB=PT EVAL HIGH COMPLEXITY File of Apr 17, 2026 · source file $337.35 $519.00 $51.90–$477.48 35%
Cobalt Rehabilitation Hospital Denver Westminster, CO PT Eval- High Complexity File of Aug 6, 2026 · source file $471.20 $471.20 $70.00–$400.52 —
Reunion Rehabilitation Hospital Inverness Englewood, CO PT Eval, High Typically 45 min File of Apr 1, 2026 · source file $650.00 $650.00 — —
Reunion Rehabilitation Hospital Denver Denver, CO PT Eval, High Typically 45 min File of Apr 1, 2026 · source file $650.00 $650.00 — —
Craig Hospital Englewood, CO HC PT EVAL HIGH COMPLEX File of Jun 25, 2026 · source file $749.43 $1,967.00 $86.15–$1,770.30 62%
AdventHealth Littleton Littleton, CO · (303) 730-8900 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $928.55 $928.55 — —
AdventHealth Castle Rock Castle Rock, CO · (720) 455-5000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $928.55 $928.55 — —
AdventHealth Parker Parker, CO · (303) 269-4000 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $928.55 $928.55 — —
AdventHealth Porter Denver, CO · (303) 778-1955 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS File of Apr 1, 2026 · source file $928.55 $928.55 — —
HCA Healthone Mountain Ridge Thornton, CO · (303) 451-7800 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination File of Sep 1, 2026 · source file $980.21 $980.21 $100.35–$106.43 —
HCA Healthone Northeast ER Thornton, CO · (303) 451-7800 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination File of Sep 1, 2026 · source file $980.21 $980.21 $100.35–$106.43 —
HCA Healthone Spalding Rehabilitation Aurora, CO Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination File of Sep 1, 2026 · source file $1,875.63 $1,875.63 $100.35–$106.43 —
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.
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 $135.10, median $838.99, highest $1,875.63 — a 13.9× difference within the same market.

As an inpatient, the same code is billed by 12 facilities here, median $699.72. 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 4 of 8 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 PT evaluation, high complexity is, what the price covers and why prices differ: PT evaluation, high complexity explained.