Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Youngstown, OH

In Youngstown-Warren, OH, 2 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $240.00 to $376.53, with a median of $308.27. The lowest listed price is at Insight Hospital and Medical Center Trumbull — $68.27 less than the median here. Across Ohio, the median is $297.00 at 97 hospitals.

Cash prices at 2 facilities across 2 cities for code 97163, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 28, 2026; the hospital files themselves were last updated between Jun 25, 2026 and Jun 25, 2026.

Lowest$240.00Insight Hospital and Medical Center Trumbull
Median$308.27half pay less
Highest$376.53in this market
Difference1.6×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 Youngstown-Warren, OH.

median
Lowest $240.00Highest $376.53

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Insight Hospital and Medical Center Trumbull lowest Warren, OH · (330) 841-9011 Physical therapy evaluation high complexity $240.00 $300.00 $150.00–$240.00 20% Jun 25, 2026
source file
Surgical Hospital at Southwoods Youngstown, OH · (330) 729-8000 "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements fro $376.53 $753.05 $286.16–$408.09 50% —
source file

Outpatient: lowest $240.00, median $308.27, highest $376.53 — a 1.6× difference within the same market.

Cash or insurance?

At 1 of 2 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.