Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in St. Louis, MO

In St. Louis, MO-IL, 10 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $103.35 to $789.84, with a median of $233.23. The lowest listed price is at Mercy Hospital Washington — $129.88 less than the median here. Across Missouri, the median is $155.40 at 21 hospitals.

Cash prices at 10 facilities across 9 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 24, 2026 and Apr 24, 2026.

Lowest$103.35Mercy Hospital Washington
Median$233.23half pay less
Highest$789.84in this market
Difference7.6×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 St. Louis, MO-IL.

median
Lowest $103.35Highest $789.84

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital Washington lowest Washington, MO Pt Eval Level III 15 Min $103.35 $159.00 $86.18–$142.20 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 15 Min $116.35 $179.00 $11.64–$179.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 15 Min $122.20 $188.00 $12.22–$188.00 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 30 Min $122.85 $189.00 $137.00–$233.00 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 30 Min $122.85 $189.00 $133.00–$274.00 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 45 Min $147.55 $227.00 $14.76–$227.00 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 45 Min $147.55 $227.00 $86.18–$142.20 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 30 Min $153.40 $236.00 $86.18–$216.29 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 45 Min $154.70 $238.00 $15.47–$238.00 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 15 Min $161.85 $249.00 $120.65–$132.72 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 60 Min $172.90 $266.00 $86.18–$142.20 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 15 Min $180.05 $277.00 $86.18–$216.29 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 30 Min $203.45 $313.00 $20.35–$313.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 60 Min $215.80 $332.00 $137.00–$312.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 30 Min $226.20 $348.00 $86.18–$216.29 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 60 Min $232.05 $357.00 $137.00–$233.00 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 45 Min $245.05 $377.00 $170.00–$202.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 45 Min $272.35 $419.00 $86.18–$216.29 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 60 Min $286.00 $440.00 $120.65–$132.72 35% —
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Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 PT High Eval Units $286.40 $358.00 $32.60–$274.07 20% Apr 24, 2026
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 75 Min $291.20 $448.00 $86.18–$216.29 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 75 Min $308.75 $475.00 $86.18–$216.29 35% —
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 PT EVAL HIGH COMPLEX 45 MIN $316.80 $440.00 $88.00–$440.00 28% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 60 Min $317.85 $489.00 $86.18–$216.29 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 75 Min $327.60 $504.00 $32.76–$504.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 90 Min $328.25 $505.00 $137.00–$312.00 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 90 Min $340.60 $524.00 $137.00–$233.00 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 75 Min $344.50 $530.00 $133.00–$274.00 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 90 Min $362.70 $558.00 $86.18–$142.20 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 75 Min $364.00 $560.00 $36.40–$560.00 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 90 Min $369.20 $568.00 $120.65–$132.72 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 105 Min $378.95 $583.00 $37.90–$583.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 90 Min $410.15 $631.00 $86.18–$216.29 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 105 Min $410.15 $631.00 $170.00–$202.00 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 120 Min $417.30 $642.00 $86.18–$216.29 35% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 120 Min $451.75 $695.00 $120.65–$132.72 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 135 Min $455.65 $701.00 $137.00–$233.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 105 Min $456.30 $702.00 $86.18–$216.29 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 105 Min $456.30 $702.00 $86.18–$216.29 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 105 Min $456.30 $702.00 $133.00–$274.00 35% —
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL PT EVAL HIGH COMPLEX 45 MIN $485.28 $674.00 $94.52–$674.00 28% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 135 Min $492.70 $758.00 $120.65–$132.72 35% —
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Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level III 150 Min $494.00 $760.00 $86.18–$216.29 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 120 Min $502.45 $773.00 $86.18–$142.20 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 120 Min $502.45 $773.00 $50.25–$773.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 120 Min $502.45 $773.00 $50.25–$773.00 35% —
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 PT EVAL HIGH COMPLEX 45 MIN $520.56 $723.00 $94.52–$723.00 28% —
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Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level III 150 Min $534.30 $822.00 $53.43–$822.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 135 Min $548.60 $844.00 $137.00–$312.00 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 135 Min $548.60 $844.00 $137.00–$274.00 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 135 Min $548.60 $844.00 $86.18–$142.20 35% —
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Mercy Hospital Washington Washington, MO Pt Eval Level III 150 Min $594.75 $915.00 $133.00–$274.00 35% —
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Mercy Hospital Jefferson Festus, MO Pt Eval Level III 150 Min $594.75 $915.00 $86.18–$216.29 35% —
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Mercy Hospital St Louis Saint Louis, MO Pt Eval Level III 150 Min $594.75 $915.00 $137.00–$274.00 35% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 PT EVAL HIGH COMPLEX 45 MIN $789.84 $1,097.00 $94.52–$1,097.00 28% —
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Outpatient: lowest $103.35, median $233.23, highest $789.84 — a 7.6× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $316.80. 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 8 of 10 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.