Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Michigan City, IN

In Michigan City-La Porte, IN, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $124.47 to $124.47, with a median of $124.47. Across Indiana, the median is $258.50 at 46 hospitals.

Cash prices at 1 facility for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$124.47La Porte Hospital
Median$124.47half pay less
Highest$124.47in this market
Difference1.0×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 Michigan City-La Porte, IN.

median
Lowest $124.47Highest $213.65

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 175 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 181 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 182 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 183 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 184 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital lowest La Porte, IN · (219) 326-1234 TH PTEVL- HGH CMP PT - REDOC 257 $124.47 $377.17 $83.82–$339.45 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 184 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 181 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 257 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH CMP PT - REDOC 257 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 2 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT Eval High Assistant Unit - Yes $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 IRF PT EVAL HIGH $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL HIGH Unit - Yes $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 175 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 182 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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La Porte Hospital La Porte, IN · (219) 326-1234 PT EVAL- HGH COMP - REDOC 183 $213.65 $647.43 $83.82–$582.69 67% Apr 1, 2026
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Outpatient: lowest $124.47, median $124.47, highest $124.47.

As an inpatient, the same code is billed by 1 facility here, median $203.67. 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 the one hospital here that publishes insurer rates for this code, the cash price is 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.