Doctor visits and therapy CPT 97163 Inpatient — admitted to hospital

PT evaluation, high complexity cost in Knox, IN — inpatient

In Knox, IN, 1 hospital lists a cash price for physical therapy evaluation, high complexity (typically about 45 minutes) as an inpatient: from $207.44 to $207.44, with a median of $207.44. Across Indiana, the median is $230.70 at 64 hospitals.

Cash prices at 1 facility for code 97163, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$207.44Northwest Health - Starke
Median$207.44half pay less
Highest$207.44in this market
Difference1.0×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 Knox, IN.

median
Lowest $207.44Highest $356.09

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Northwest Health - Starke lowest Knox, IN · (574) 772-6231 TH PTEVL- HGH CMP PT - REDOC 181 $207.44 $377.17 $126.35–$354.54 45% Apr 1, 2026
source file
Northwest Health - Starke Knox, IN · (574) 772-6231 PT EVAL HIGH Unit - Yes $356.09 $647.43 $216.89–$608.58 45% Apr 1, 2026
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Northwest Health - Starke Knox, IN · (574) 772-6231 PT EVAL- HGH COMP - REDOC 181 $356.09 $647.43 $216.89–$608.58 45% Apr 1, 2026
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Northwest Health - Starke Knox, IN · (574) 772-6231 PT Eval High Assistant Unit - Yes $356.09 $647.43 $216.89–$608.58 45% Apr 1, 2026
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Northwest Health - Starke Knox, IN · (574) 772-6231 PHYSICAL THERAPY EVAL HGH COMPLEXITY PTA - Redoc 1 $356.09 $647.43 $216.89–$608.58 45% Apr 1, 2026
source file

Inpatient: lowest $207.44, median $207.44, highest $207.44.

As an outpatient, the same code is billed by 1 facility here, median $101.84 — 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.