Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Wichita, KS

In Wichita, KS, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $241.15 to $241.15, with a median of $241.15. Across Kansas, the median is $162.90 at 10 hospitals.

Cash prices at 1 facility for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$241.15Susan B Allen Memorial Hospital
Median$241.15half pay less
Highest$241.15in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Susan B Allen Memorial Hospital El Dorado, KS · (316) 321-3300 PT EVAL HIGH COMPLEX 45 MIN $241.15 $371.00 $350.00–$757.00 35% —
source file

Outpatient: lowest $241.15, median $241.15, highest $241.15.

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 and 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.