Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 21 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $49.50 to $1,280.12, with a median of $201.20. The lowest listed price is at Virtua Memorial Hospital and 3 other hospitals — $151.70 less than the median here. Across Pennsylvania, the median is $322.40 at 37 hospitals.

Cash prices at 21 facilities across 19 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 Mar 24, 2026 and Sep 1, 2026.

Lowest$49.50Virtua Memorial Hospital + 3 more
Median$201.20half pay less
Highest$1,280.12in this market
Difference25.9×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $49.50Highest $1,694.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Virtua Memorial Hospital lowest Mount Holly, NJ · (609) 267-0700 HC Pt Evaluation High Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation High Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation High Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Willingboro Hospital lowest Willinboro, NJ · (609) 835-2900 HC Pt Evaluation High Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Our Lady of Lourdes lowest Camden, NJ · (856) 886-5373 HC Pt Evaluation High Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Lower Bucks Hospital Bristol, PA · (215) 785-9200 Hc Phys Thrp Eval, High Complexity, 45 Min $100.00 $650.00 $63.61–$520.00 85% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Phys Thrp Eval, High Complexity, 45 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Phys Thrp Eval, High Complexity, 45 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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Bryn Mawr Rehabilitation Hospital Malvern, PA Hc Pt Eval High Comp 45Min $201.20 $503.00 — 60% —
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The Bryn Mawr Hospital Bryn Mawr, PA · (610) 526-3000 Hc Pt Eval High Comp 45Min $201.20 $503.00 — 60% —
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Lankenau Medical Center Wynnewood, PA · (610) 645-2000 Hc Pt Eval High Comp 45Min $201.20 $503.00 — 60% Apr 1, 2026
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Riddle Memorial Hospital Media, PA · (610) 566-9400 Hc Pt Eval High Comp 45Min $201.20 $503.00 — 60% Apr 1, 2026
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Paoli Hospital Paoli, PA · (610) 648-1000 Hc Pt Eval High Comp 45Min $201.20 $503.00 — 60% Apr 1, 2026
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St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Pt Evaluation High Complexity Patient/Family $313.95 $483.00 $98.02–$657.46 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Pt Evaluation High Complexity Patient/Family $365.30 $562.00 $80.59–$740.20 35% Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Pt Evaluation High Complexity Patient/Family $365.30 $562.00 $80.59–$550.76 35% Mar 31, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Pt Evaluation High Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 35% Mar 31, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PT EVAL HIGH COMPLEX 45 MIN $513.34 $513.34 $60.00–$563.00 — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ PT EVAL HIGH COMPLEX 45 MIN $513.34 $513.34 $46.66–$563.00 — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PT EVAL HIGH COMPLEX 45 MIN $513.34 $513.34 $58.32–$563.00 — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PT EVAL HIGH COMPLEX 45 MIN $513.34 $513.34 $60.00–$563.00 — Mar 24, 2026
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity OP $1,151.00 $1,151.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity OP $1,151.00 $1,151.00 — — —
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, High Complexity (Th) $1,280.12 $1,280.12 $70.00–$1,152.11 — —
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, High Complexity $1,280.12 $1,280.12 $70.00–$1,152.11 — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity Rhb $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity Rhb $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity Gl $1,694.00 $1,694.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation High Complexity Gl $1,694.00 $1,694.00 — — —
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Outpatient: lowest $49.50, median $201.20, highest $1,280.12 — a 25.9× difference within the same market.

As an inpatient, the same code is billed by 14 facilities here, median $365.30. 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 14 of 15 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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.