Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Duluth, MN — inpatient

In Duluth, MN-WI, 8 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $157.40 to $229.57, with a median of $189.57. The lowest listed price is at Range Regional Health Services — $32.17 less than the median here. Across Minnesota, the median is $196.13 at 51 hospitals.

Cash prices at 8 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 Jan 1, 2026 and Apr 1, 2026.

Lowest$157.40Range Regional Health Services
Median$189.57half pay less
Highest$229.57in this market
Difference1.5×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 Duluth, MN-WI.

median
Lowest $157.40Highest $229.57

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Range Regional Health Services lowest Hibbing, MN · (218) 362-6730 HC PT EVAL, HIGH COMPLEXITY $157.40 $370.33 $168.50–$368.52 57% Jan 29, 2026
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Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 PHYSICAL THERAPY EVALUATION HIGH COMPLEX $178.86 $271.00 $116.23–$233.06 34% Jan 1, 2026
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Essentia Health St. Mary's Children's Hospital Duluth, MN PHYSICAL THERAPY EVALUATION HIGH COMPLEX $178.86 $271.00 $116.23–$233.06 34% Jan 1, 2026
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Essentia Health Duluth Duluth, MN · (218) 786-2652 PHYSICAL THERAPY EVALUATION HIGH COMPLEX $178.86 $271.00 $112.09–$233.06 34% Jan 1, 2026
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Essentia Health Northern Pines Aurora, MN · (218) 229-4222 PHYSICAL THERAPY EVALUATION HIGH COMPLEX $200.27 $271.00 $108.94–$271.00 26% Jan 1, 2026
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Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 PHYSICAL THERAPY EVALUATION HIGH COMPLEX $200.27 $271.00 $108.94–$245.26 26% Jan 1, 2026
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Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX $200.27 $271.00 $108.94–$245.26 26% Jan 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $229.57 $422.00 — 46% Apr 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 Fac Physical Therapy Evaluation High Complex $229.57 $422.00 — 46% Apr 1, 2026
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Inpatient: lowest $157.40, median $189.57, highest $229.57 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $178.86 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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.