Doctor visits and therapy CPT 97163 Outpatient

PT evaluation, high complexity cost in Waterbury, CT

In Waterbury, CT, 2 hospitals list a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $344.60 to $460.35, with a median of $402.48. The lowest listed price is at UConn Health, Waterbury Hospital — $57.88 less than the median here. Across Connecticut, the median is $412.56 at 15 hospitals.

Cash prices at 2 facilities 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 Mar 31, 2026 and May 13, 2026.

Lowest$344.60UConn Health, Waterbury Hospital
Median$402.48half pay less
Highest$460.35in this market
Difference1.3×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 Waterbury, CT.

median
Lowest $344.60Highest $460.35

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UConn Health, Waterbury Hospital lowest Waterbury, CT · (203) 573-6000 PT Evaluation Units High Complexity $344.60 $689.19 $201.00–$445.08 50% May 13, 2026
source file
Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Pt Evaluation High Complexity Patient/Family $460.35 $837.00 $91.82–$837.00 45% Mar 31, 2026
source file

Outpatient: lowest $344.60, median $402.48, highest $460.35 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $402.48. 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 2 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.