Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Milwaukee, WI — inpatient

In Milwaukee-Waukesha, WI, 10 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $310.00 to $331.51, with a median of $310.00. The lowest listed price is at Aurora West Allis Medical Center and 8 other hospitals. Across Wisconsin, the median is $274.30 at 46 hospitals.

Cash prices at 10 facilities across 8 cities for code 97163, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Nov 21, 2025 and Mar 23, 2026.

Lowest$310.00Aurora West Allis Medical Center + 8 more
Median$310.00half pay less
Highest$331.51in this market
Difference1.1×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 $310.00Highest $331.51

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aurora West Allis Medical Center lowest West Allis, WI · (414) 328-6000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora St Lukes South Shore of Aurora Health Care Metro lowest Cudahy, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Summit lowest Summit, WI · (262) 434-1600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Grafton lowest Grafton, WI · (262) 329-1000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Washington County lowest Hartford, WI · (262) 673-2300 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Medical Center Kenosha lowest Kenosha, WI · (262) 948-5600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Psychiatric Hospital lowest Wauwatosa, WI · (414) 454-6600 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora Sinai Medical Center of Aurora Health Care Metro lowest Milwaukee, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
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Aurora St Lukes Medical Center of Aurora Health Care Metro lowest Milwaukee, WI · (414) 649-6000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$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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Inpatient: lowest $310.00, median $310.00, highest $331.51 — a 1.1× difference within the same market.

As an outpatient, the same code is billed by 12 facilities here, median $310.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 10 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 10 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.