PT evaluation, high complexity cost in Vermillion, SD — inpatient
In Vermillion, SD, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $292.00 to $292.00, with a median of $292.00. Across South Dakota, the median is $342.40 at 7 hospitals.
Cash prices at 1 facility for code 97163, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 4, 2026 and Mar 4, 2026.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sanford Vermillion Hospital Vermillion, SD · (605) 624-2611 PT EVAL HIGH COMPLEXITY 97163 | $292.00 | $365.00 | $144.50–$328.50 | 20% | Mar 4, 2026 source file |
Inpatient: lowest $292.00, median $292.00, highest $292.00.
As an outpatient, the same code is billed by 1 facility here, median $292.00 — 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.