Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in San Jose, CA — inpatient

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $178.00 to $723.20, with a median of $453.60. The lowest listed price is at El Camino Hospital — $275.60 less than the median here. Across California, the median is $453.60 at 88 hospitals.

Cash prices at 4 facilities across 4 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$178.00El Camino Hospital
Median$453.60half pay less
Highest$723.20in this market
Difference4.1×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 San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $178.00Highest $723.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
El Camino Hospital lowest Mountain View, CA · (650) 940-7000 HC PT EVAL HIGH COMPLEXITY 45 MINS $178.00 $712.00 — 75% Apr 1, 2026
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $453.60 $810.00 — 44% —
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $453.60 $810.00 — 44% —
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Stanford Health Care Stanford, CA · (650) 723-4000 Pt Eval High Complex 45 Min $723.20 $1,808.00 — 60% Apr 1, 2026
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Inpatient: lowest $178.00, median $453.60, highest $723.20 — a 4.1× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $453.60 — 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.