Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Gloversville, NY

In Gloversville, NY, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $256.46 to $256.46, with a median of $256.46. Across New York, the median is $286.00 at 74 hospitals.

Cash prices at 1 facility for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$256.46Nathan Littauer Hospital Association
Median$256.46half pay less
Highest$256.46in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nathan Littauer Hospital Association Gloversville, NY · (518) 725-8621 PT INT EVAL HIGH COMP $256.46 $320.58 $166.28 20% —
source file

Outpatient: lowest $256.46, median $256.46, highest $256.46.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is not 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.