Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Napa, CA

In Napa, CA, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $211.14 to $211.14, with a median of $211.14. Across California, the median is $453.60 at 88 hospitals.

Cash prices at 1 facility 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$211.14Providence Queen of the Valley Medical Center
Median$211.14half pay less
Highest$211.14in 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 Napa, CA.

median
Lowest $211.14Highest $286.62

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Queen of the Valley Medical Center lowest Napa, CA · (707) 252-4411 HC PT EVALUATION HIGH COMPLEX $211.14 $414.00 — 49% Apr 1, 2026
source file
Providence Queen of the Valley Medical Center Napa, CA · (707) 252-4411 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $286.62 $562.00 — 49% Apr 1, 2026
source file
Providence Queen of the Valley Medical Center Napa, CA · (707) 252-4411 HC PT EVALUATION HIGH COMPLEX $286.62 $562.00 — 49% Apr 1, 2026
source file

Outpatient: lowest $211.14, median $211.14, highest $211.14.

As an inpatient, the same code is billed by 1 facility here, median $286.62. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.