Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Riverside, CA

In Riverside-San Bernardino-Ontario, CA, 13 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $103.00 to $1,146.56, with a median of $427.95. The lowest listed price is at Montclair Hospital Medical Center and 2 other hospitals — $324.95 less than the median here. Across California, the median is $453.60 at 88 hospitals.

Cash prices at 13 facilities across 11 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 Apr 1, 2026 and Sep 2, 2026.

Lowest$103.00Montclair Hospital Medical Center + 2 more
Median$427.95half pay less
Highest$1,146.56in this market
Difference11.1×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 Riverside-San Bernardino-Ontario, CA.

median
Lowest $103.00Highest $1,146.56

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Montclair Hospital Medical Center lowest Montclair, CA · (909) 625-8300 Hc Phys Thrp Eval, High Complexity, 45 Min - 97163 - 42400012 $103.00 $943.69 $98.03–$943.69 89% Sep 1, 2026
source file
Desert Valley Hospital lowest Victorville, CA · (760) 241-8000 PT EVAL 60MIN $103.00 $638.92 $102.16–$638.92 84% Sep 1, 2026
source file
Desert Valley Hospital lowest Victorville, CA · (760) 241-8000 PT EVAL HIGH COMPLEX 45 MIN $103.00 $527.50 $102.16–$638.92 80% Sep 1, 2026
source file
Chino Valley Medical Center lowest Chino, CA · (909) 627-6111 Hc Phys Thrp Eval, High Complexity, 45 Min $103.00 $943.69 $98.03–$943.69 89% Sep 1, 2026
source file
San Antonio Regional Hospital Upland, CA · (909) 985-2811 Evaluation for physical therapy, typically 45 minutes $249.00 $1,298.00 $101.11–$2,385.08 81% Apr 2, 2026
source file
Loma Linda University Medical Center - Murrieta Murrieta, CA · (951) 290-4000 HC PT INIT EVAL HIGH $270.90 $602.00 $100.00–$511.70 55% Sep 2, 2026
source file
Palo Verde Hospital Blythe, CA · (760) 922-4115 PT Evaluation Units, High Complexity $382.50 $510.00 — 25% Jul 1, 2026
source file
Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 HC PT INIT EVAL HIGH $427.95 $951.00 $206.00–$855.90 55% Sep 2, 2026
source file
Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
source file
Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
source file
Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
source file
Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 HC PT INIT EVAL HIGH $586.35 $1,303.00 $206.00–$1,107.55 55% Sep 2, 2026
source file
St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC PT EVALUATION HIGH COMPLEX $742.08 $1,546.00 — 52% Apr 1, 2026
source file
St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $742.08 $1,546.00 — 52% Apr 1, 2026
source file
St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC CRISIS TELEH 97163 PT EVALUATION HIGH COMPLEX CDM $742.08 $1,546.00 — 52% Apr 1, 2026
source file
Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 HC Pt Init Eval High $1,146.56 $1,146.56 $34.84–$1,146.56 — —
source file
Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 HC Pt Init Eval High $1,146.56 $1,146.56 $34.84–$1,146.56 — —
source file

Outpatient: lowest $103.00, median $427.95, highest $1,146.56 — a 11.1× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $490.36. 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 7 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.