Doctor visits and therapy CPT 97161 Massachusetts Outpatient

PT evaluation, low complexity cost in Massachusetts

In Massachusetts, 32 hospitals publish a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $142.00 to $670.00, with a median of $349.00. The lowest price is at Southcoast Hospitals Group (Fall River) and 2 other hospitals. The highest price is 4.7× the lowest.

  • The median here, $349.00, is 75% above the US median of $199.50.
  • That is 3.6× Medicare's 2026 national rate for the same service ($97.86).
  • Massachusetts ranks 45th of 50 states by median, cheapest first.
  • 17 of 32 hospitals list a cash price equal to their full list price, with no self-pay discount.

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 Oct 17, 2026. See them on a map

Lowest$142.00Southcoast Hospitals Group + 2 more
Median$349.00half of hospitals charge less
Highest$670.00in Massachusetts
Lowest saves$207.00vs the median

Hospitals in Massachusetts, cheapest first

HospitalCash priceList priceFile date
Southcoast Hospitals Group lowest Fall River · Providence-Warwick, RI-MA HC Lymphedema Eval Low Complex $142.00 $284.00 Dec 15, 2025
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Southcoast Hospitals Group - St. Luke's Hospital lowest St. New Bedford · Providence-Warwick, RI-MA HC Lymphedema Eval Low Complex $142.00 $284.00 Dec 15, 2025
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Southcoast Hospitals Group - Tobey Hospital Campus lowest Wareham · Boston-Cambridge-Newton, MA-NH HC Pt Eval Low Complex $142.00 $284.00 Dec 15, 2025
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Boston Medical Center Brighton Boston · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation Low Complex 20 Mins $142.73 $317.17 Mar 13, 2026
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Boston Medical Center South Brockton · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation Low Complex 20 Mins $163.21 $362.69 Mar 13, 2026
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Melrosewakefield Healthcare Melrose · Boston-Cambridge-Newton, MA-NH HC Telemed Pt Eval Low Complexity $192.50 $275.00 Apr 1, 2026
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Cambridge Health Alliance Cambridge · Boston-Cambridge-Newton, MA-NH Physical Therapy Evaluation Low Complex 20 Mins $195.00 $195.00 Mar 20, 2026
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Winchester Hospital Winchester · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $197.00 $197.00 Apr 1, 2026
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Boston Medical Center Boston · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation Low Complex 20 Mins $246.60 $548.00 Mar 13, 2026
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Signature Healthcare Brockton Hospital Brockton · Boston-Cambridge-Newton, MA-NH PT EVAL - LOW COMPLEXITY $259.70 $371.00 Jan 28, 2026
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Holyoke Medical Center Holyoke · Springfield, MA PT Eval Low Complex 30 min $271.00 $271.00 May 1, 2026
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Emerson Hospital Concord · Boston-Cambridge-Newton, MA-NH PT EVAL LOW COMPLEX 20 MIN $300.75 $401.00 May 18, 2026
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Milford Regional Medical Center Milford · Worcester, MA Low Compl Eval 15 Minutes $308.00 $308.00 Apr 1, 2026
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The Mercy Hospital Springfield · Springfield, MA HC Pt Evaluation Low Complexity Patient/Family $310.70 $478.00 Mar 31, 2026
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Anna Jaques Hospital Newburyport · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $328.00 $328.00 Apr 1, 2026
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New England Baptist Hospital Boston · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $333.00 $333.00 Apr 1, 2026
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Mount Auburn Hospital Cambridge · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $365.00 $365.00 Apr 1, 2026
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Whittier Rehabilitation Hospital Westborough · Worcester, MA PT Pt eval low complex 20 min $365.00 $365.00 May 21, 2026
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Whittier Rehabilitation Hospital Bradford Haverhill · Boston-Cambridge-Newton, MA-NH PT Pt eval low complex 20 min $365.32 $365.32 May 21, 2026
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Lowell General Hospital Lowell · Boston-Cambridge-Newton, MA-NH Hosp Physical Therapy Evaluation Low Complex $367.50 $525.00 Apr 1, 2026
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UMass Memorial Health - Harrington Hospital Southbridge · Worcester, MA HC Pt Evaluation Low Complexity $375.00 $375.00 Apr 3, 2026
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Tufts Medical Center Boston · Boston-Cambridge-Newton, MA-NH Hosp Physical Therapy Evaluation Low Complex $378.70 $541.00 Apr 1, 2026
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Beth Israel Deaconess Hospital - Needham Needham · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $413.00 $413.00 Apr 1, 2026
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Beth Israel Deaconess Hospital-Milton Milton · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $426.00 $426.00 Apr 1, 2026
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Berkshire Medical Center Pittsfield · Pittsfield, MA PT Eval Low Cmplxty-20m $429.35 $451.95 Oct 9, 2026
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Fairview Hospital Great Barrington · Pittsfield, MA PT Eval Low Cmplxty-20m $429.35 $451.95 Oct 7, 2026
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North Adams Regional Hospital North Adams · Pittsfield, MA PT Eval Low Cmplxty-20m Lymph $429.35 $451.95 Oct 9, 2026
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Lahey Hospital & Medical Center, Burlington Burlington · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $444.00 $444.00 Apr 1, 2026
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UMass Memorial Medical Center Worcester · Worcester, MA HC Pt Evaluation Low Complexity $454.00 $454.00 Mar 26, 2026
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Beth Israel Deaconess Hospital - Plymouth Plymouth · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $482.00 $482.00 Apr 1, 2026
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Beth Israel Deaconess Medical Center Boston · Boston-Cambridge-Newton, MA-NH HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $598.00 $598.00 Apr 1, 2026
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HealthAlliance - Clinton Hospital Leominster · Worcester, MA HC Pt Evaluation Low Complexity $670.00 $670.00 Mar 26, 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.
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
Boston-Cambridge-Newton, MA-NH 20 $142.00 $330.50
Worcester, MA 5 $308.00 $375.00
Pittsfield, MA 3 $429.35 $429.35
Providence-Warwick, RI-MA 2 $142.00 $142.00
Springfield, MA 2 $271.00 $290.85
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.