Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Indianapolis, IN — inpatient

In Indianapolis-Carmel-Greenwood, IN, 10 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $218.40 to $385.63, with a median of $279.00. The lowest listed price is at St. Vincent Anderson Regional Hospital — $60.60 less than the median here. Across Indiana, the median is $258.50 at 46 hospitals.

Cash prices at 10 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 — and —.

Lowest$218.40St. Vincent Anderson Regional Hospital
Median$279.00half pay less
Highest$385.63in this market
Difference1.8×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 Indianapolis-Carmel-Greenwood, IN.

median
Lowest $218.40Highest $385.63

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Vincent Anderson Regional Hospital lowest Anderson, IN · (765) 649-2511 PT HIGH COMPLEX EVAL $218.40 $364.00 $10.90–$128.90 40% —
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Carmel AmbSurg Carmel, IN PT BALANCE EVALUATION HIGH $279.00 $465.00 $10.90–$128.90 40% —
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Carmel AmbSurg Carmel, IN PT PELVIC FLOOR HIGH COMP EVAL $279.00 $465.00 $10.90–$128.90 40% —
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Endo Surgery Center Carmel, IN PT HIGH COMPLEX EVAL $279.00 $465.00 $10.90–$128.90 40% —
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Endo Surgery Center Carmel, IN PT BALANCE EVALUATION HIGH $279.00 $465.00 $10.90–$128.90 40% —
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Endo Surgery Center Carmel, IN PT PELVIC FLOOR HIGH COMP EVAL $279.00 $465.00 $10.90–$128.90 40% —
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St. Vincent Heart Center of Indiana Carmel, IN · (317) 583-5000 PT HIGH COMPLEX EVAL $279.00 $465.00 $18.05–$128.90 40% —
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St. Vincent Seton Specialty Hospital Indianapolis, IN PT HIGH COMPLEX EVAL $279.00 $465.00 $18.05–$128.90 40% —
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Carmel AmbSurg Carmel, IN PT HIGH COMPLEX EVAL $279.00 $465.00 $10.90–$128.90 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 PT BALANCE EVALUATION HIGH $279.00 $465.00 $18.05–$128.90 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 PT PELVIC FLOOR HIGH COMP EVAL $279.00 $465.00 $18.05–$128.90 40% —
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Naab Road Surgery Center Indianapolis, IN PT HIGH COMPLEX EVAL $279.00 $465.00 $10.90–$128.90 40% —
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Naab Road Surgery Center Indianapolis, IN PT BALANCE EVALUATION HIGH $279.00 $465.00 $10.90–$128.90 40% —
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Naab Road Surgery Center Indianapolis, IN PT PELVIC FLOOR HIGH COMP EVAL $279.00 $465.00 $10.90–$128.90 40% —
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St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 PT HIGH COMPLEX EVAL $279.00 $465.00 $18.05–$128.90 40% —
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St. Vincent Fishers Hospital Fishers, IN · (317) 415-9000 PT PELVIC FLOOR HIGH COMP EVAL $279.00 $465.00 $18.05–$128.90 40% —
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St. Vincent Carmel Hospital Carmel, IN · (317) 582-7000 PT HIGH COMPLEX EVAL $279.00 $465.00 $18.05–$128.90 40% —
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Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 PT HIGH COMPLEX EVAL $285.60 $476.00 $18.05–$128.90 40% —
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Eskenazi Health Indianapolis, IN · (317) 880-4818 HC Pt Eval High Complexity $385.63 $428.48 $92.00–$428.48 10% —
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Inpatient: lowest $218.40, median $279.00, highest $385.63 — a 1.8× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $279.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 10 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.