Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 47 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $108.00 to $1,656.00, with a median of $203.30. The lowest listed price is at Saint Marys Hospital — $95.30 less than the median here. Across New York, the median is $334.05 at 55 hospitals.

Cash prices at 47 facilities across 35 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Sep 5, 2026.

Lowest$108.00Saint Marys Hospital
Median$203.30half pay less
Highest$1,656.00in this market
Difference15.3×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $108.00Highest $1,656.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Saint Marys Hospital lowest Passaic, NJ · (973) 365-4300 Hc Phys Thrp Eval, High Complexity, 45 Min $108.00 $527.50 $86.82–$448.38 80% Sep 1, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $108.82 $274.00 $49.11 60% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $109.69 $277.00 $49.11 60% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC PT EVAL HIGH COMPLEX 45 MIN $109.88 $478.50 $109.88–$300.61 77% Sep 5, 2026
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Metropolitan Hospital Center New York, NY · (212) 423-6262 HC PT EVAL HIGH COMPLEX 45 MIN $109.88 $478.50 $111.81–$299.65 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $110.15 $278.00 $49.11 60% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $110.15 $278.00 $49.11 60% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC PT EVAL HIGH COMPLEX 45 MIN $110.99 $478.50 $110.99–$297.72 77% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY HC PT EVAL HIGH COMPLEX 45 MIN $110.99 $478.50 $110.99–$301.58 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$296.76 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$299.65 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$296.76 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$299.65 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$299.65 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $111.81–$300.61 77% Sep 5, 2026
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Bellevue Hospital Center New York, NY · (212) 561-4132 HC PT EVAL HIGH COMPLEX 45 MIN $111.81 $478.50 $109.88–$299.65 77% Sep 5, 2026
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St. Barnabas Hospital Bronx, NY · (212) 960-9000 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $112.40 $407.96 $78.27–$251.57 72% Feb 27, 2026
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Phys Therapy High Complex $120.93 $570.00 — 79% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Phys Therapy High Complex $120.93 $1,164.00 — 90% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Phys Therapy High Complex $120.93 $720.00 — 83% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Phys Therapy High Complex $120.93 $1,304.00 — 91% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Phys Therapy High Complex $120.93 $570.00 — 79% —
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Phys Therapy High Complex $120.93 $1,254.00 — 90% —
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Ocean Medical Center Brick, NJ · (732) 840-2200 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $660.00 $118.80–$652.74 81% Dec 31, 2025
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JFK University Medical Center Edison, NJ · (732) 321-7000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $660.00 $106.26–$635.32 81% Dec 31, 2025
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JFK University Medical Center Edison, NJ · (732) 321-7000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $660.00 $118.80–$652.74 81% Dec 31, 2025
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Bayshore Medical Center Holmdel, NJ · (732) 739-5900 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $60.00–$151.43 79% Dec 31, 2025
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Hmh Hospitals Old Bridge, NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $90.00–$517.00 79% Dec 31, 2025
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Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $660.00 $118.80–$660.00 81% Dec 31, 2025
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Hmh Hospitals Red Bank, NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $80.00–$517.00 79% Dec 31, 2025
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Palisades Medical Center North Bergen, NJ · (201) 854-5000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $104.48–$584.30 79% Dec 31, 2025
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Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $90.00–$517.00 79% Dec 31, 2025
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Hmh Hospitals Neptune City, NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $660.00 $80.00–$561.00 81% Dec 31, 2025
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Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $109.98–$600.98 79% Dec 31, 2025
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Ocean Medical Center Brick, NJ · (732) 840-2200 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $126.19 $611.00 $80.00–$517.00 79% Dec 31, 2025
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Englewood Health Englewood, NJ · (201) 894-3000 Physical Therapy Evaluation High Complex 45 Mins $203.30 $2,033.00 $148.61–$1,626.40 90% Feb 2, 2026
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Phys Therapy High Complex $219.72 $2,304.00 — 90% —
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Phys Therapy High Complex $242.54 $2,820.00 — 91% —
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $244.40 $611.00 — 60% —
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $244.40 $611.00 $88.60 60% —
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 PT EVAL HIGH COMPLEX 45 MIN $261.80 $374.00 $54.02–$122.99 30% Oct 28, 2025
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PHYS THERAPY EVAL HIGH COMPLEXITY 45 MIN $280.00 $280.00 — — Apr 1, 2026
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Phys Therapy High Complex $297.34 $2,145.00 — 86% —
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Pt Eval High Complex 45 Min $320.58 $457.96 $65.00–$457.96 30% Oct 28, 2025
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Phys Therapy High Complex $338.37 $2,718.00 — 88% —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 PT EVAL HIGH COMPLEX 45 MIN $350.00 $350.00 $35.00–$1,912.00 — —
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 PT EVAL HIGH COMPLEX 45 MIN $350.00 $350.00 $35.00–$1,912.00 — —
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC PT EVAL HIGH COMPLEX GP $359.80 $1,893.66 $93.00–$1,893.66 81% Jan 1, 2026
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NYU Langone Mineola, NY HC PT EVAL HIGH COMPLEX GP $359.80 $1,893.66 $93.00–$1,893.66 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL HIGH COMPLEX GP $359.80 $1,893.66 $93.00–$1,893.66 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC PT EVAL HIGH COMPLEX GP $359.80 $1,893.66 $93.00–$1,893.66 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL HIGH COMPLEX GP $359.80 $1,893.66 $93.00–$1,893.66 81% Jan 1, 2026
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Phys Therapy High Complex $387.63 $2,781.00 — 86% —
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Hudson Regional Hospital Secaucus, NJ · (201) 392-3200 Evaluation for physical therapy, typically 45 minutes $390.60 $390.60 $60.00–$737.06 — Jan 19, 2026
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New York Eye and Ear Infirmary of Mount Sinai New York, NY · (212) 979-4000 VEST.REHAB-PHYS THERAPY EVAL, $396.22 $440.25 — 10% Apr 1, 2026
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT EVAL HIGH COMPLEX $460.80 $768.00 $60.00–$652.80 40% —
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St Johns Riverside Hospital Park Care Pavillion Yonkers, NY PT EVAL HIGH COMPLEX 45 MIN $559.30 $658.00 $93.63–$3,783.00 15% —
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 PT EVAL HIGH COMPLEX 45 MIN $657.00 $657.00 $110.15–$4,255.00 — —
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT - PT EVAL HIGH COMPLEX $768.00 $1,280.00 $60.00–$1,088.00 40% —
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Mount Sinai Queens Long Island, NY HC Pt Eval High Complex 45 Min $850.50 $945.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Pt Eval High Complex 45 Min $850.50 $945.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Pt Eval High Complex 45 Min $850.50 $945.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Pt Eval High Complex 45 Min $850.50 $945.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Pt Eval High Complex 45 Min $850.50 $945.00 — 10% Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PT EVAL; HIGH COMPLEXITY $1,110.00 $1,110.00 — — Apr 1, 2026
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Memorial Hospital for Cancer and Allied Diseases New York, NY HC Pt Physical Therapy Evaluation High Complex 45 Mins $1,656.00 $1,656.00 $148.26–$1,490.40 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Pt Physical Therapy Evaluation High Complex 45 Mins $1,656.00 $1,656.00 $612.63–$1,490.40 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Pt Physical Therapy Evaluation High Complex 45 Mins $1,656.00 $1,656.00 $148.26–$1,490.40 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Pt Physical Therapy Evaluation High Complex 45 Mins $1,656.00 $1,656.00 $612.63–$1,490.40 — Dec 1, 2025
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Outpatient: lowest $108.00, median $203.30, highest $1,656.00 — a 15.3× difference within the same market.

As an inpatient, the same code is billed by 22 facilities here, median $319.90. 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 26 of 34 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.