Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Seaford, DE — inpatient

In Seaford, DE, 2 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $246.43 to $275.52, with a median of $260.98. The lowest listed price is at TidalHealth Nanticoke — $14.55 less than the median here. Across Delaware, the median is $275.52 at 5 hospitals.

Cash prices at 2 facilities across 2 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$246.43TidalHealth Nanticoke
Median$260.98half pay less
Highest$275.52in this market
Difference1.1×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 Seaford, DE.

median
Lowest $246.43Highest $275.52

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
TidalHealth Nanticoke lowest Seaford, DE · (302) 629-6611 HC Evaluation High Complexity 8-22 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke lowest Seaford, DE · (302) 629-6611 HC Evaluation High Complexity 23-37 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke lowest Seaford, DE · (302) 629-6611 HC Evaluation High Complexity 38-52 Min $246.43 $246.43 $142.93–$259.43 — —
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TidalHealth Nanticoke lowest Seaford, DE · (302) 629-6611 HC Evaluation High Complexity 53-67 Min $246.43 $246.43 $142.93–$259.43 — —
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Bayhealth Hospital, Sussex Campus Milford, DE · (302) 422-3311 Hc Pt Eval High Complex 45 Min $275.52 $328.00 — 16% Apr 1, 2026
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Bayhealth Hospital, Sussex Campus Milford, DE · (302) 422-3311 Hc Telemedicine Pt Eval High Complex 45 Min $275.52 $328.00 — 16% Apr 1, 2026
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Inpatient: lowest $246.43, median $260.98, highest $275.52 — a 1.1× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $260.98 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.