Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Rochester, NY — inpatient

In Rochester, NY, 4 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $361.30 to $444.67, with a median of $361.30. The lowest listed price is at Rochester General Hospital and 2 other hospitals. Across New York, the median is $334.05 at 55 hospitals.

Cash prices at 4 facilities across 3 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 Apr 1, 2026.

Lowest$361.30Rochester General Hospital + 2 more
Median$361.30half pay less
Highest$444.67in this market
Difference1.2×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 Rochester, NY.

median
Lowest $361.30Highest $444.67

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Rochester General Hospital lowest Rochester, NY · (585) 922-4000 HC PT EVAL HIGH COMPLEX $361.30 $555.84 — 35% Apr 1, 2026
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Clifton Springs Hospital And Clinic lowest Clifton Springs, NY · (315) 462-9561 HC PT EVAL HIGH COMPLEX $361.30 $555.84 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital lowest Newark, NY · (315) 332-2022 HC PT EVAL HIGH COMPLEX $361.30 $555.84 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC PT EVAL HIGH COMPLEX $444.67 $555.84 — 20% Apr 1, 2026
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Inpatient: lowest $361.30, median $361.30, highest $444.67 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 8 facilities here, median $347.68 — that is the price to compare if you are not being admitted.

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.