Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

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

In Oshkosh-Neenah, WI, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $310.00 to $310.00, with a median of $310.00. Across Wisconsin, the median is $274.30 at 46 hospitals.

Cash prices at 1 facility 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 Nov 21, 2025.

Lowest$310.00Aurora Medical Center Oshkosh
Median$310.00half pay less
Highest$310.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aurora Medical Center Oshkosh Oshkosh, WI · (920) 456-6000 PT EVAL HIGH COMPLEXITY $310.00 $620.00 $372.00–$527.00 50% Nov 21, 2025
source file

Inpatient: lowest $310.00, median $310.00, highest $310.00.

As an outpatient, the same code is billed by 2 facilities here, median $262.73 — that is the price to compare if you are not being admitted.

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 and 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.