Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Green Bay, WI

In Green Bay, WI, 4 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $95.70 to $310.00, with a median of $95.70. The lowest listed price is at St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis and 2 other hospitals. Across Wisconsin, the median is $274.30 at 46 hospitals.

Cash prices at 4 facilities across 2 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Nov 21, 2025.

Lowest$95.70St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis + 2 more
Median$95.70half pay less
Highest$310.00in this market
Difference3.2×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 Green Bay, WI.

median
Lowest $95.70Highest $310.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis lowest Green Bay, WI · (920) 433-0111 HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 $70.47–$215.33 34% —
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St Clare Memorial Hospital lowest Oconto Falls, WI · (920) 846-3444 HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 $34.80–$145.00 34% —
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St Marys Hospital Medical Center lowest Green Bay, WI · (920) 498-4200 HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 $70.47–$215.33 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC PT EVAL HIGH COMPLEXITY $99.00 $150.00 $72.90–$215.33 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC PT EVAL HIGH COMPLEXITY $99.00 $150.00 $36.00–$150.00 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC PT EVAL HIGH COMPLEXITY $99.00 $150.00 $72.90–$215.33 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC PT EVAL HIGH COMPLEXITY 30MIN $113.52 $172.00 $83.59–$215.33 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC PT EVAL HIGH COMPLEXITY 30MIN $113.52 $172.00 $41.28–$172.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC PT EVAL HIGH COMPLEXITY 30MIN $113.52 $172.00 $83.59–$215.33 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC PT EVAL HIGH COMPLEXITY 45MIN $124.08 $188.00 $91.37–$215.33 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC PT EVAL HIGH COMPLEXITY 45MIN $124.08 $188.00 $88.79–$215.33 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC PT EVAL HIGH COMPLEXITY 45MIN $124.08 $188.00 $45.12–$188.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC PT EVAL HIGH COMPLEXITY 60MIN $155.10 $235.00 $92.06–$235.00 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC PT EVAL HIGH COMPLEXITY 60MIN $155.10 $235.00 $56.40–$235.00 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC PT EVAL HIGH COMPLEXITY 60MIN $155.10 $235.00 $88.79–$235.00 34% —
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Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Outpatient: lowest $95.70, median $95.70, highest $310.00 — a 3.2× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $111.75. 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 4 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.