Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Riverside, CA — inpatient

In Riverside-San Bernardino-Ontario, CA, 9 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $270.90 to $1,146.56, with a median of $490.36. The lowest listed price is at Loma Linda University Medical Center - Murrieta — $219.46 less than the median here. Across California, the median is $453.60 at 88 hospitals.

Cash prices at 9 facilities across 7 cities for code 97163, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 2, 2026.

Lowest$270.90Loma Linda University Medical Center - Murrieta
Median$490.36half pay less
Highest$1,146.56in this market
Difference4.2×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 $270.90Highest $1,146.56

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Loma Linda University Medical Center - Murrieta lowest Murrieta, CA · (951) 290-4000 HC PT INIT EVAL HIGH $270.90 $602.00 $108.96–$451.50 55% Sep 2, 2026
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Palo Verde Hospital Blythe, CA · (760) 922-4115 PT Evaluation Units, High Complexity $382.50 $510.00 — 25% Jul 1, 2026
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Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 HC PT INIT EVAL HIGH $427.95 $951.00 $190.20–$855.90 55% Sep 2, 2026
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
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Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
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Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $490.36 $943.00 — 48% —
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Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 HC PT INIT EVAL HIGH $586.35 $1,303.00 $260.60–$1,107.55 55% Sep 2, 2026
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St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC PT EVALUATION HIGH COMPLEX $742.08 $1,546.00 — 52% Apr 1, 2026
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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
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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
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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 — —
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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 — —
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Inpatient: lowest $270.90, median $490.36, highest $1,146.56 — a 4.2× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $427.95 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 4 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.