Doctor visits and therapy CPT 97161 Illinois Outpatient

PT evaluation, low complexity cost in Illinois

In Illinois, 96 hospitals publish a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $40.00 to $636.00, with a median of $225.36. The lowest price is at Advocate Childrens Hospital Oak Lawn (Oak Lawn) and 4 other hospitals. The highest price is 15.9× the lowest.

  • The median here, $225.36, is 13% above the US median of $199.50.
  • That is 2.3× Medicare's 2026 national rate for the same service ($97.86).
  • Illinois ranks 33rd of 50 states by median, cheapest first.
  • 24 of 96 hospitals list a cash price equal to their full list price, with no self-pay discount.

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 97161. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 10, 2026. See them on a map

Lowest$40.00Advocate Childrens Hospital Oak Lawn + 4 more
Median$225.36half of hospitals charge less
Highest$636.00in Illinois
Lowest saves$185.36vs the median

Hospitals in Illinois, cheapest first

HospitalCash priceList priceFile date
Advocate Childrens Hospital Oak Lawn lowest Oak Lawn · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL LOW COMP PER 15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Childrens Hospital Park Ridge lowest Park Ridge · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL LOW COMP PER 15 PA ONLY $40.00 $80.00 Nov 6, 2026
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Advocate Condell Medical Center lowest Libertyville · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL LOW COMP PER 15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Good Samaritan Hospital lowest Downers Grove · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL LOW COMP PER 15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Trinity Hospital lowest Chicago · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL LOW COMP PER 15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Gottlieb Memorial Hospital Melrose Park · Chicago-Naperville-Elgin, IL-IN New Eval Pt Low Complexity $76.38 $402.00 Mar 31, 2026
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MacNeal Hospital Berwyn · Chicago-Naperville-Elgin, IL-IN New Eval Pt Low Complexity $76.38 $402.00 Mar 31, 2026
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Advocate Christ Medical Center Oak Lawn · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Good Shepherd Hospital Barrington · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Illinois Masonic Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Lutheran General Hospital Park Ridge · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Sherman Hospital Elgin · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate South Suburban Hospital Hazel Crest · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Loyola University Medical Center Maywood · Chicago-Naperville-Elgin, IL-IN New Eval Pt Low Complexity $92.46 $402.00 Mar 31, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $93.75 $375.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $93.75 $375.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $93.75 $375.00 Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $93.75 $375.00 Apr 1, 2026
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MercyOne Genesis Aledo Medical Center Aledo · Davenport-Moline-Rock Island, IA-IL GHS PT EVAL =<15 MIN, LOW $94.80 $158.00 Mar 31, 2026
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MercyOne Genesis Silvis Medical Center Silvis · Davenport-Moline-Rock Island, IA-IL GHS PT EVAL =<15 MIN, LOW $94.80 $158.00 Mar 31, 2026
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Saint Francis Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HC PHYS THRP EVAL, LOW COMPLEXITY, 20 MIN $98.00 $365.00 Sep 1, 2026
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Mercy Medical Center Aurora · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMPLEXITY $99.00 $617.00 Sep 1, 2026
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Saint Joseph Medical Center - Joliet Joliet · Chicago-Naperville-Elgin, IL-IN PT EVAL LOW COMPLEXITY $99.00 $661.00 Sep 1, 2026
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Illini Community Hospital Pittsfield · Pittsfield, IL HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $103.94 $173.23 Jun 8, 2026
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Riverside Medical Center Kankakee · Kankakee, IL PT EVAL LOW COMPLEX 20 MIN $107.01 $402.00 Mar 15, 2026
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Presence Saint Joseph Hospital - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN HC PT EVAL LOW COMPLEXITY $120.45 $365.00 Jan 1, 2026
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Loretto Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PHYSICAL THERAPY EVALUATION $129.78 $216.30 Nov 5, 2026
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Rockford Memorial Hospital Rockford · Rockford, IL HC PBB PT EVAL LOW COMPLEX 20 MIN $139.69 $186.25 Mar 1, 2026
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Salem Township Hospital Salem · Centralia, IL HC 97161 PT EVALUATION, LOW COMPLEXITY $141.54 $353.86 Dec 3, 2025
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Touchette Regional Hospital Cahokia Heights · St. Louis, MO-IL Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and $151.90 $245.00 Apr 13, 2026
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Carle Health Pekin Hospital Pekin · Peoria, IL Pt Eval Low Complexity Curtis $152.00 $152.00 Apr 15, 2026
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Methodist Medical Center of Illinois Peoria · Peoria, IL Pt Eval Low Complexity Curtis $152.00 $152.00 Apr 15, 2026
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Proctor Community Hospital Peoria · Peoria, IL Pt Eval Low Complexity Curtis $152.00 $152.00 Apr 15, 2026
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Hamilton Memorial Hospital McLeansboror · McLeansboror, IL HC PT EVAL LOW COMPLEXITY $164.43 $182.70 Jun 11, 2026
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FHN Memorial Hospital Freeport · Freeport, IL Evaluation for physical therapy, typically 20 minutes $172.00 $215.00 Jan 22, 2026
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John H. Stroger, Jr. Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT EVAL - LOW COMPLEXITY $176.40 $252.00 Apr 1, 2026
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Thomas H Boyd Memorial Hospital Carrollton · Carrollton, IL Evaluation for physical therapy, typically 20 minutes $183.20 $229.00 Jul 7, 2026
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NorthShore University HealthSystems Glenbrook Hospital Glenview · Chicago-Naperville-Elgin, IL-IN Pt Evaluation Low Complex 20 Mins $189.15 $291.00 Jan 1, 2025
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NorthShore University HealthSystems Skokie Hospital Skokie · Chicago-Naperville-Elgin, IL-IN Pt Evaluation Low Complex 20 Mins $189.15 $291.00 Jan 1, 2025
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The Carle Foundation Hospital Urbana · Champaign-Urbana, IL Occupational Therapy Eval $194.00 $194.00 Apr 15, 2026
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Louis A Weiss Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT Evaluation Units, Low Complexity BCE $194.62 $572.41 Mar 17, 2025
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Shriners Childrens - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $205.20 $205.20 Mar 19, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park · Chicago-Naperville-Elgin, IL-IN PT Evaluation Units, Low Complexity BCE $211.46 $621.93 Mar 17, 2025
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Deaconess Illinois Union County Hospital Anna · Anna, IL HC PT EVALUATION 15 MIN LOW COMPLX $212.54 $574.43 Feb 3, 2026
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Crawford Memorial Hospital Robinson · Robinson, IL PT Evaluation Low Complexity Units $213.60 $267.00 Nov 12, 2025
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St Francis Hospital Sisters of the Third Order of St Francis Litchfield · Litchfield, IL PT EVAL LOW COMPLEX 20 MIN $218.88 $304.00 Mar 24, 2026
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Washington County Hospital Nashville · Nashville, IL HC PT EVAL LOW COMPLEXITY 1 RVU $221.60 $277.00 Jun 1, 2026
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese · St. Louis, MO-IL PT EVAL LOW COMPLEX 20 MIN $223.92 $311.00 Mar 24, 2026
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Hshs Good Shepherd Hospital Shelbyville · Shelbyville, IL PT EVAL LOW COMPLEX 20 MIN $226.80 $315.00 Mar 24, 2026
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Trinity Rock Island Rock Island · Davenport-Moline-Rock Island, IA-IL HC PT EVAL LOW COMPLEX $227.91 $284.88 Nov 4, 2026
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Roseland Community Hospital Chicago · Chicago-Naperville-Elgin, IL-IN Evaluation for physical therapy, typically 20 minutes $237.86 $79.00 Jul 1, 2026
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County of Clay Flora · Flora, IL HC PT EVAL LOW COMPLEXITY 1 RVU $240.00 $240.00 May 7, 2026
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Kirby Medical Center Monticello · Champaign-Urbana, IL PT EVAL LOW COMPLEX 20 MIN $240.00 $400.00 Jun 11, 2026
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Heartland Regional Medical Center Marion · Marion-Herrin, IL HC PT EVALUATION 30 MIN LOW COMPLX $259.83 $1,367.51 Feb 3, 2026
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Hshs Holy Family Hospital Greenville · St. Louis, MO-IL PT EVAL LOW COMPLEX 20 MIN $263.52 $366.00 Mar 24, 2026
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Ferrell Hospital Community Foundation Eldorado · Eldorado, IL HC PT EVALUATION 45 MIN LOW COMPLX $274.50 $366.00 Sep 22, 2026
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Northwest Community Hospital Arlington Heights · Chicago-Naperville-Elgin, IL-IN Hb Pt Eval Low Complex $281.00 $281.00 Apr 1, 2026
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Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake · Chicago-Naperville-Elgin, IL-IN HC PT EVAL LOW COMPLEX $289.41 $385.88 Mar 1, 2026
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Northwestern Lake Forest Hospital Lake Forest · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Northwestern Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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Palos Community Hospital Palos Heights · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $293.30 $419.00 Apr 1, 2026
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland · St. Louis, MO-IL PT EVAL LOW COMPLEX 20 MIN $297.36 $413.00 Mar 24, 2026
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon · St. Louis, MO-IL PT EVAL LOW COMPLEX 20 MIN $303.84 $422.00 Mar 24, 2026
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The University of Chicago Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Hc Physical Therapy Evaluation Low Complex 20 Min $304.00 $304.00 Apr 1, 2026
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Mercyhealth Hospital & Medical Center - Harvard Harvard · Chicago-Naperville-Elgin, IL-IN HC PT EVAL LOW COMPLEX $324.14 $432.19 Mar 1, 2026
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Anderson Hospital Maryville · St. Louis, MO-IL PT PED EVL LOW CMPLX 20 MIN $326.20 $652.40 Feb 6, 2026
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Endeavor Health Highland Park Hospital Highland Park · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION LOW COMPLEX 20 MINS $327.00 $327.00 Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION LOW COMPLEX 20 MINS $327.00 $327.00 Apr 1, 2026
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Swedish Covenant Health Chicago · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION LOW COMPLEX 20 MINS $327.00 $327.00 Apr 1, 2026
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St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis Decatur · Decatur, IL PT EVAL LOW COMPLEX 20 MIN $332.64 $462.00 Mar 25, 2026
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Community Hospital of Staunton Staunton · St. Louis, MO-IL PT CHS EVL LOW CMPLX 20 MIN $342.50 $685.00 Feb 9, 2026
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St Johns Hospital of the Hospital Sisters of the Third Order of St Francis Springfield · Springfield, IL PT EVAL LOW COMPLEX 20 MIN $347.76 $483.00 Mar 24, 2026
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Sarah D Culbertson Memorial Hospital Rushville · Rushville, IL Evaluation for physical therapy, typically 20 minutes $360.90 $401.00 May 26, 2026
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Hoopeston Community Memorial Hospital Hoopeston · Danville, IL Pt Eval Low Complexity $362.00 $362.00 Apr 15, 2026
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Harrisburg Medical Center Harrisburg · Harrisburg, IL HC Pt Evaluation Low Complexity $381.60 $477.00 Mar 4, 2026
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Herrin Hospital Herrin · Marion-Herrin, IL HC Pt Evaluation Low Complexity $381.60 $477.00 Mar 4, 2026
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Memorial Hospital of Carbondale Carbondale · Carbondale, IL HC Pt Evaluation Low Complexity $381.60 $477.00 Mar 4, 2026
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St Joseph Memorial Hospital Murphysboro · Carbondale, IL HC Pt Evaluation Low Complexity $381.60 $477.00 Mar 4, 2026
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Carle BroMenn Medical Center Normal · Bloomington, IL Pt Eval Low Complexity Curtis $394.00 $394.00 Apr 15, 2026
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Carle Eureka Hospital Eureka · Peoria, IL Pt Eval Low Complexity Curtis $394.00 $394.00 Apr 15, 2026
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City of Clinton Clinton · Clinton, IL Evaluation for physical therapy, typically 20 minutes $404.65 $404.65 Oct 21, 2026
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Rochelle Community Hospital Rochelle · Rochelle, IL Evaluation for physical therapy, typically 20 minutes $406.00 $406.00 Sep 28, 2026
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Richland Memorial Hospital Olney · Olney, IL Pt Eval Low Complexity Curtis $410.00 $410.00 Apr 15, 2026
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La Rabida Children's Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT EVALUATION-LOW COMPLEXITY $410.91 $410.91 Apr 1, 2026
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St Anthonys Memorial Hospital of the Hospital Sisters of the Third Order of St Francis Mattoon · Charleston-Mattoon, IL PT EVAL LOW COMPLEX 20 MIN $441.36 $613.00 Mar 24, 2026
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Gibson Area Hospital Gibson City · Champaign-Urbana, IL PT EVAL LOW COMPLEX 20 MIN $443.00 $443.00 Nov 4, 2026
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Sarah Bush Lincoln Health Center Mattoon · Charleston-Mattoon, IL Evaluation for physical therapy, typically 20 minutes $456.00 $456.00 Jun 3, 2026
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Ingalls Memorial Hospital Harvey · Chicago-Naperville-Elgin, IL-IN Hc Physical Therapy Evaluation Low Complex 20 Min $482.00 $482.00 Apr 1, 2026
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Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Low Complex $486.50 $695.00 Apr 1, 2026
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Edward Hospital Naperville · Chicago-Naperville-Elgin, IL-IN HC PT EVAL LOW COMPLEXITY $636.00 $636.00 Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst · Chicago-Naperville-Elgin, IL-IN HC PT EVAL LOW COMPLEXITY $636.00 $636.00 Apr 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Chicago-Naperville-Elgin, IL-IN 50 $40.00 $189.15
St. Louis, MO-IL 7 $151.90 $297.36
Peoria, IL 4 $152.00 $152.00
Champaign-Urbana, IL 3 $194.00 $240.00
Davenport-Moline-Rock Island, IA-IL 3 $94.80 $94.80
Carbondale, IL 2 $381.60 $381.60
Charleston-Mattoon, IL 2 $441.36 $448.68
Marion-Herrin, IL 2 $259.83 $320.72
Anna, IL 1 $212.54 $212.54
Bloomington, IL 1 $394.00 $394.00
Carrollton, IL 1 $183.20 $183.20
Clinton, IL 1 $404.65 $404.65
Centralia, IL 1 $141.54 $141.54
Danville, IL 1 $362.00 $362.00
Decatur, IL 1 $332.64 $332.64
Eldorado, IL 1 $274.50 $274.50
Flora, IL 1 $240.00 $240.00
Freeport, IL 1 $172.00 $172.00
Harrisburg, IL 1 $381.60 $381.60
Kankakee, IL 1 $107.01 $107.01
Litchfield, IL 1 $218.88 $218.88
McLeansboror, IL 1 $164.43 $164.43
Nashville, IL 1 $221.60 $221.60
Olney, IL 1 $410.00 $410.00
Pittsfield, IL 1 $103.94 $103.94
Robinson, IL 1 $213.60 $213.60
Rushville, IL 1 $360.90 $360.90
Rochelle, IL 1 $406.00 $406.00
Rockford, IL 1 $139.69 $139.69
Shelbyville, IL 1 $226.80 $226.80
Springfield, IL 1 $347.76 $347.76
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What PT evaluation, low complexity is, what the price covers and why prices differ: PT evaluation, low complexity explained.

Physical therapy evaluation, low complexity (typically about 20 minutes) in other states

Median cash price across the state's hospitals.