Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Santa Rosa, CA

In Santa Rosa-Petaluma, CA, 4 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $241.23 to $453.60, with a median of $273.87. The lowest listed price is at Providence Santa Rosa Memorial Hospital — $32.64 less than the median here. Across California, the median is $453.60 at 88 hospitals.

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

Lowest$241.23Providence Santa Rosa Memorial Hospital
Median$273.87half pay less
Highest$453.60in this market
Difference1.9×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 Santa Rosa-Petaluma, CA.

median
Lowest $241.23Highest $453.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Providence Santa Rosa Memorial Hospital lowest Santa Rosa, CA · (707) 525-5300 HC PT EVALUATION HIGH COMPLEX $241.23 $473.00 — 49% Apr 1, 2026
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Healdsburg Hospital Healdsburg, CA · (707) 431-6500 HC PT EVALUATION HIGH COMPLEX $266.73 $523.00 — 49% Apr 1, 2026
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Healdsburg Hospital Healdsburg, CA · (707) 431-6500 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $266.73 $523.00 — 49% Apr 1, 2026
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Petaluma Valley Hospital Petaluma, CA · (707) 778-1111 HC PT EVALUATION HIGH COMPLEX $281.01 $551.00 — 49% Apr 1, 2026
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Petaluma Valley Hospital Petaluma, CA · (707) 778-1111 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $327.42 $642.00 — 49% Apr 1, 2026
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Providence Santa Rosa Memorial Hospital Santa Rosa, CA · (707) 525-5300 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $344.76 $676.00 — 49% Apr 1, 2026
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Providence Santa Rosa Memorial Hospital Santa Rosa, CA · (707) 525-5300 HC CRISIS TELEH 97163 PT EVALUATION HIGH COMPLEX CDM $360.57 $707.00 — 49% Apr 1, 2026
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Providence Santa Rosa Memorial Hospital Santa Rosa, CA · (707) 525-5300 HC PT EVALUATION HIGH COMPLEX $360.57 $707.00 — 49% Apr 1, 2026
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Petaluma Valley Hospital Petaluma, CA · (707) 778-1111 HC PT EVALUATION HIGH COMPLEX $392.70 $770.00 — 49% Apr 1, 2026
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Kaiser Foundation Hospital - Santa Rosa Santa Rosa, CA · (707) 571-4000 PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $453.60 $810.00 — 44% —
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Outpatient: lowest $241.23, median $273.87, highest $453.60 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $336.09. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.