Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Milwaukee, WI

In Milwaukee-Waukesha, WI, 12 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $191.33 to $331.51, with a median of $310.00. The lowest listed price is at Columbia St. Mary's Hospital Milwaukee and 1 other hospital — $118.67 less than the median here. Across Wisconsin, the median is $274.30 at 46 hospitals.

Cash prices at 12 facilities across 9 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 Mar 23, 2026.

Lowest$191.33Columbia St. Mary's Hospital Milwaukee + 1 more
Median$310.00half pay less
Highest$331.51in this market
Difference1.7×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 Milwaukee-Waukesha, WI.

median
Lowest $191.33Highest $331.51

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Columbia St. Mary's Hospital Milwaukee lowest Milwaukee, WI · (414) 585-1374 HC PT EVAL HIGH COMPLEX $191.33 $361.00 $104.53–$259.22 47% —
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Columbia St. Mary's Hospital Ozaukee lowest Mequon, WI HC PT EVAL HIGH COMPLEX $191.33 $361.00 $104.53–$259.22 47% —
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Aurora Medical Center Washington County Hartford, WI · (262) 673-2300 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Kenosha Kenosha, WI · (262) 948-5600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora Psychiatric Hospital Wauwatosa, WI · (414) 454-6600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee, WI · (414) 649-6000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora St Lukes South Shore of Aurora Health Care Metro Cudahy, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Summit Summit, WI · (262) 434-1600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora West Allis Medical Center West Allis, WI · (414) 328-6000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Grafton Grafton, WI · (262) 329-1000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $222.00–$527.00 50% Nov 21, 2025
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Children's Hospital of Wisconsin Milwaukee, WI · (414) 266-3954 HBC PT EVALUATION HIGH COMPLEXITY $331.51 $602.75 $421.93–$572.61 45% Mar 23, 2026
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Children's Hospital of Wisconsin Milwaukee, WI · (414) 266-3954 HBC PT EVALUATION HIGH COMPLEXITY $331.51 $602.75 $421.93–$572.61 45% Mar 23, 2026
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Outpatient: lowest $191.33, median $310.00, highest $331.51 — a 1.7× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $310.00. 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 12 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.