PT evaluation, high complexity cost in Traverse City, MI
In Traverse City, MI, 3 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $272.00 to $289.85, with a median of $277.10. The lowest listed price is at Paul Oliver Memorial Hospital — $5.10 less than the median here. Across Michigan, the median is $205.00 at 57 hospitals.
Cash prices at 3 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 17, 2026 and Apr 17, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Traverse City, MI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Paul Oliver Memorial Hospital lowest Frankfort, MI · (231) 352-2200 PT 97163 PT EVAL HIGH COMPLEX 45M OP | $272.00 | $320.00 | $66.20–$304.00 | 15% | Apr 17, 2026 source file |
| Paul Oliver Memorial Hospital lowest Frankfort, MI · (231) 352-2200 PT Eval 45 Min - PT MMC | $272.00 | $320.00 | $66.20–$304.00 | 15% | Apr 17, 2026 source file |
| Paul Oliver Memorial Hospital lowest Frankfort, MI · (231) 352-2200 97163 PT EVAL 45 MIN PT IP | $272.00 | $320.00 | $66.20–$304.00 | 15% | Apr 17, 2026 source file |
| Paul Oliver Memorial Hospital lowest Frankfort, MI · (231) 352-2200 High Complexity Evaluation - PT Untimed Charges | $272.00 | $320.00 | $66.20–$304.00 | 15% | Apr 17, 2026 source file |
| Munson Medical Center Traverse City, MI · (231) 935-5000 PT Eval 45 Min - PT MMC | $277.10 | $326.00 | $49.11–$319.48 | 15% | Apr 17, 2026 source file |
| Munson Medical Center Traverse City, MI · (231) 935-5000 97163 PT EVAL 45 MIN PT IP | $277.10 | $326.00 | $49.11–$319.48 | 15% | Apr 17, 2026 source file |
| Munson Medical Center Traverse City, MI · (231) 935-5000 High Complexity Evaluation - PT Untimed Charges | $277.10 | $326.00 | $49.11–$319.48 | 15% | Apr 17, 2026 source file |
| Munson Medical Center Traverse City, MI · (231) 935-5000 PT 97163 PT EVAL HIGH COMPLEX 45M OP | $277.10 | $326.00 | $49.11–$319.48 | 15% | Apr 17, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 97163 PT EVAL 45 MIN PT IP | $289.85 | $341.00 | $66.20–$323.95 | 15% | Apr 17, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 PT 97163 PT EVAL HIGH COMPLEX 45M OP | $289.85 | $341.00 | $66.20–$323.95 | 15% | Apr 17, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 PT Eval 45 Min - PT MMC | $289.85 | $341.00 | $66.20–$323.95 | 15% | Apr 17, 2026 source file |
| Kalkaska Memorial Health Center Kalkaska, MI · (231) 258-7500 High Complexity Evaluation - PT Untimed Charges | $289.85 | $341.00 | $66.20–$323.95 | 15% | Apr 17, 2026 source file |
Outpatient: lowest $272.00, median $277.10, highest $289.85 — a 1.1× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $277.10. 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 3 of 3 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.