Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Fresno, CA — inpatient

In Fresno, CA, 3 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $388.80 to $453.60, with a median of $388.80. The lowest listed price is at Fresno Community Hospital and Medical Center and 1 other hospital. Across California, the median is $453.60 at 88 hospitals.

Cash prices at 3 facilities across 2 cities for code 97163, as an inpatient (admitted to hospital) . Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jun 18, 2026.

Lowest$388.80Fresno Community Hospital and Medical Center + 1 more
Median$388.80half pay less
Highest$453.60in this market
Difference1.2×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 Fresno, CA.

median
Lowest $388.80Highest $453.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Fresno Community Hospital and Medical Center lowest Clovis, CA · (559) 324-4000 PT EVALUATION - HIGH COMPLEXITY $388.80 $486.00 $123.93–$534.60 20% Jun 15, 2026
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Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 PT EVALUATION - HIGH COMPLEXITY $388.80 $486.00 $123.93–$534.60 20% Jun 18, 2026
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Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 PT EVALUATION - HIGH COMPLEXITY $388.80 $486.00 $123.93–$534.60 20% Jun 16, 2026
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Fresno Community Hospital and Medical Center lowest Fresno, CA · (559) 459-6000 PT EVALUATION - HIGH COMPLEXITY $388.80 $486.00 $123.93–$534.60 20% Jun 18, 2026
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Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $453.60 $810.00 — 44% —
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Inpatient: lowest $388.80, median $388.80, highest $453.60 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $388.80 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.