Doctor visits and therapy CPT 97162 Illinois Outpatient

PT evaluation, mod. complexity cost in Illinois

In Illinois, 97 hospitals publish a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $42.50 to $709.00, with a median of $305.60. The lowest price is at Advocate Childrens Hospital Oak Lawn (Oak Lawn) and 4 other hospitals. The highest price is 16.7× the lowest.

  • The median here, $305.60, is 35% above the US median of $226.32.
  • That is 3.1× Medicare's 2026 national rate for the same service ($97.86).
  • Illinois ranks 39th of 50 states by median, cheapest first.
  • 24 of 97 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 97162. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 10, 2026. See them on a map

Lowest$42.50Advocate Childrens Hospital Oak Lawn + 4 more
Median$305.60half of hospitals charge less
Highest$709.00in Illinois
Lowest saves$263.10vs 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 MOD COMP/15 PA ONLY $42.50 $85.00 Nov 3, 2026
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Advocate Childrens Hospital Park Ridge lowest Park Ridge · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL MOD COMP/15 PA ONLY $42.50 $85.00 Nov 6, 2026
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Advocate Condell Medical Center lowest Libertyville · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL MOD COMP/15 PA ONLY $42.50 $85.00 Nov 3, 2026
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Advocate Good Samaritan Hospital lowest Downers Grove · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL MOD COMP/15 PA ONLY $42.50 $85.00 Nov 3, 2026
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Advocate Trinity Hospital lowest Chicago · Chicago-Naperville-Elgin, IL-IN PEDS PT EVAL MOD COMP/15 PA ONLY $42.50 $85.00 Nov 3, 2026
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MercyOne Genesis Silvis Medical Center Silvis · Davenport-Moline-Rock Island, IA-IL GHS PT EVAL =<15 MIN, MODERATE $91.20 $152.00 Mar 31, 2026
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Saint Francis Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN $98.00 $402.00 Sep 1, 2026
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Mercy Medical Center Aurora · Chicago-Naperville-Elgin, IL-IN PT EVAL MODERATE COMPLEXITY $99.00 $678.00 Sep 1, 2026
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MercyOne Genesis Aledo Medical Center Aledo · Davenport-Moline-Rock Island, IA-IL GHS PT EVAL =<15 MIN, MODERATE $99.00 $165.00 Mar 31, 2026
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Saint Joseph Medical Center - Joliet Joliet · Chicago-Naperville-Elgin, IL-IN IFSP MODERATE COMPLEXITY - PT $99.00 $728.00 Sep 1, 2026
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Advocate Christ Medical Center Oak Lawn · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Advocate Good Shepherd Hospital Barrington · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Advocate Illinois Masonic Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Advocate Lutheran General Hospital Park Ridge · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Advocate Sherman Hospital Elgin · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Advocate South Suburban Hospital Hazel Crest · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMP PER 15 PA ONLY $100.00 $200.00 Nov 3, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $100.00 $400.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $100.00 $400.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $100.00 $400.00 Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange · Chicago-Naperville-Elgin, IL-IN HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $100.00 $400.00 Apr 1, 2026
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Gottlieb Memorial Hospital Melrose Park · Chicago-Naperville-Elgin, IL-IN New Eval Pt Moderate Complexity $105.83 $557.00 Mar 31, 2026
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MacNeal Hospital Berwyn · Chicago-Naperville-Elgin, IL-IN New Eval Pt Moderate Complexity $105.83 $557.00 Mar 31, 2026
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Loyola University Medical Center Maywood · Chicago-Naperville-Elgin, IL-IN New Eval Pt Moderate Complexity $128.11 $557.00 Mar 31, 2026
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Presence Saint Joseph Hospital - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN HC PT EVAL MODERATE COMPLEXITY $132.66 $402.00 Jan 1, 2026
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Riverside Medical Center Kankakee · Kankakee, IL PT EVAL MOD COMPLEX 30 MIN $132.83 $499.00 Mar 15, 2026
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Rockford Memorial Hospital Rockford · Rockford, IL HC PBB PT EVAL MOD COMPLEX 30 MIN $139.69 $186.25 Mar 1, 2026
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Touchette Regional Hospital Cahokia Heights · St. Louis, MO-IL Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements fro $151.90 $245.00 Apr 13, 2026
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Fairfield Memorial Hospital Fairfield · Fairfield, IL WF PT RE-EVALUATION $152.00 $190.00 Mar 24, 2026
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FHN Memorial Hospital Freeport · Freeport, IL Evaluation for physical therapy, typically 30 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 - MODERATE COMPLEXITY $176.40 $252.00 Apr 1, 2026
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Hamilton Memorial Hospital McLeansboror · McLeansboror, IL HC PT EVAL MOD COMPLEXITY $180.50 $200.55 Jun 11, 2026
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Salem Township Hospital Salem · Centralia, IL HC 97162 PT EVALUATION, MODERATE COMPLEXITY $191.11 $477.78 Dec 3, 2025
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Resilience Healthcare West Suburban Medical Center Oak Park · Chicago-Naperville-Elgin, IL-IN PT Evaluation Units, Moderate Complexity $211.46 $621.93 Mar 17, 2025
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Deaconess Illinois Union County Hospital Anna · Anna, IL HC PT EVALUATION 45 MIN MOD COMPLEX $212.54 $574.43 Feb 3, 2026
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La Rabida Children's Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT EVAL MODERATE COMPLEXITY $214.95 $214.95 Apr 1, 2026
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NorthShore University HealthSystems Glenbrook Hospital Glenview · Chicago-Naperville-Elgin, IL-IN Pt Evaluation Moderate Complex 30 Mins $217.10 $334.00 Jan 1, 2025
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NorthShore University HealthSystems Skokie Hospital Skokie · Chicago-Naperville-Elgin, IL-IN Pt Evaluation Moderate Complex 30 Mins $217.10 $334.00 Jan 1, 2025
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Thomas H Boyd Memorial Hospital Carrollton · Carrollton, IL Evaluation for physical therapy, typically 30 minutes $234.40 $293.00 Jul 7, 2026
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Roseland Community Hospital Chicago · Chicago-Naperville-Elgin, IL-IN Evaluation for physical therapy, typically 30 minutes $237.86 $120.00 Jul 1, 2026
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Trinity Rock Island Rock Island · Davenport-Moline-Rock Island, IA-IL HC PT EVAL MOD COMPLEX $238.90 $298.62 Nov 4, 2026
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Hshs Good Shepherd Hospital Shelbyville · Shelbyville, IL PT EVAL MOD COMPLEX 30 MIN $257.76 $358.00 Mar 24, 2026
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Heartland Regional Medical Center Marion · Marion-Herrin, IL HC PT EVALUATION 120 MIN MOD COMPLX $259.83 $1,367.51 Feb 3, 2026
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Louis A Weiss Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT Evaluation Units, Moderate Complexity $263.63 $775.39 Mar 17, 2025
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St Francis Hospital Sisters of the Third Order of St Francis Litchfield · Litchfield, IL PT EVAL MOD COMPLEX 30 MIN $273.60 $380.00 Mar 24, 2026
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Crawford Memorial Hospital Robinson · Robinson, IL PT Evaluation Moderate Complexity Units $284.80 $356.00 Nov 12, 2025
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese · St. Louis, MO-IL PT EVAL MOD COMPLEX 30 MIN $286.56 $398.00 Mar 24, 2026
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Kirby Medical Center Monticello · Champaign-Urbana, IL PT EVAL MOD COMPLEX 30 MIN $300.00 $500.00 Jun 11, 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 MOD COMPLEX 30 MIN $303.84 $422.00 Mar 24, 2026
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Washington County Hospital Nashville · Nashville, IL HC PT EVAL MOD COMPLEXITY 2 RVU $305.60 $382.00 Jun 1, 2026
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Shriners Childrens - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $307.70 $307.70 Mar 19, 2026
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Ferrell Hospital Community Foundation Eldorado · Eldorado, IL HC PT EVALUATION 15 MIN MOD COMPLEX $316.50 $422.00 Sep 22, 2026
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Northwest Community Hospital Arlington Heights · Chicago-Naperville-Elgin, IL-IN Hb Pt Eval Mod Complex $318.00 $318.00 Apr 1, 2026
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Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake · Chicago-Naperville-Elgin, IL-IN HC PT EVAL MOD COMPLEX $321.65 $428.87 Mar 1, 2026
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Carle BroMenn Medical Center Normal · Bloomington, IL Pt Eval Moderate Complexity (31-60 Minutes) $333.00 $333.00 Apr 15, 2026
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Carle Eureka Hospital Eureka · Peoria, IL Pt Eval Moderate Complexity (31-60 Minutes) $333.00 $333.00 Apr 15, 2026
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Anderson Hospital Maryville · St. Louis, MO-IL PT PED EVL MOD CMPLX 30 MIN $334.35 $668.70 Feb 6, 2026
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County of Clay Flora · Flora, IL HC PT EVAL MOD COMPLEXITY 2 RVU $336.00 $336.00 May 7, 2026
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Richland Memorial Hospital Olney · Olney, IL Pt Eval Moderate Complexity (31-60 Minutes) $340.00 $340.00 Apr 15, 2026
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Community Hospital of Staunton Staunton · St. Louis, MO-IL PT CHS EVL MOD CMPLX 30 MIN $342.50 $685.00 Feb 9, 2026
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Loretto Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PT EVAL MOD COMPLEX 30 MIN $349.03 $581.72 Nov 5, 2026
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Northwestern Lake Forest Hospital Lake Forest · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Northwestern Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Palos Community Hospital Palos Heights · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $352.10 $503.00 Apr 1, 2026
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Mercyhealth Hospital & Medical Center - Harvard Harvard · Chicago-Naperville-Elgin, IL-IN HC PT EVAL MOD COMPLEX $360.25 $480.33 Mar 1, 2026
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Hoopeston Community Memorial Hospital Hoopeston · Danville, IL Pt Eval Moderate Complexity (0-30 Minutes) $362.00 $362.00 Apr 15, 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 MOD COMPLEX 30 MIN $366.48 $509.00 Mar 24, 2026
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Endeavor Health Highland Park Hospital Highland Park · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION MODERATE COMPLEX 30 MINS $376.00 $376.00 Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION MODERATE COMPLEX 30 MINS $376.00 $376.00 Apr 1, 2026
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Swedish Covenant Health Chicago · Chicago-Naperville-Elgin, IL-IN HB PT EVALUATION MODERATE COMPLEX 30 MINS $376.00 $376.00 Apr 1, 2026
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Sarah D Culbertson Memorial Hospital Rushville · Rushville, IL Evaluation for physical therapy, typically 30 minutes $392.40 $436.00 May 26, 2026
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Rochelle Community Hospital Rochelle · Rochelle, IL Evaluation for physical therapy, typically 30 minutes $406.00 $406.00 Sep 28, 2026
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Harrisburg Medical Center Harrisburg · Harrisburg, IL HC Pt Evaluation Mod Complexity $424.00 $530.00 Mar 4, 2026
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Herrin Hospital Herrin · Marion-Herrin, IL HC Pt Evaluation Mod Complexity $424.00 $530.00 Mar 4, 2026
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Memorial Hospital of Carbondale Carbondale · Carbondale, IL HC Pt Evaluation Mod Complexity $424.00 $530.00 Mar 4, 2026
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St Joseph Memorial Hospital Murphysboro · Carbondale, IL HC Pt Evaluation Mod Complexity $424.00 $530.00 Mar 4, 2026
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The University of Chicago Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Hc Physical Therapy Evaluation Moderate Complex 30 Min $434.00 $434.00 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 MOD COMPLEX 30 MIN $434.16 $603.00 Mar 25, 2026
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Carle Health Pekin Hospital Pekin · Peoria, IL Pt Eval Moderate Complexity $462.00 $462.00 Apr 15, 2026
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Methodist Medical Center of Illinois Peoria · Peoria, IL Pt Eval Moderate Complexity $462.00 $462.00 Apr 15, 2026
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Proctor Community Hospital Peoria · Peoria, IL Pt Eval Moderate Complexity $462.00 $462.00 Apr 15, 2026
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City of Clinton Clinton · Clinton, IL Evaluation for physical therapy, typically 30 minutes $467.90 $467.90 Oct 21, 2026
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Ingalls Memorial Hospital Harvey · Chicago-Naperville-Elgin, IL-IN Hc Physical Therapy Evaluation Moderate Complex 30 Min $482.00 $482.00 Apr 1, 2026
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St Johns Hospital of the Hospital Sisters of the Third Order of St Francis Springfield · Springfield, IL PT EVAL MOD COMPLEX 30 MIN $489.60 $680.00 Mar 24, 2026
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Gibson Area Hospital Gibson City · Champaign-Urbana, IL PT EVAL MOD COMPLEX 30 MIN $501.00 $501.00 Nov 4, 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 MOD COMPLEX 30 MIN $513.36 $713.00 Mar 24, 2026
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Illini Community Hospital Pittsfield · Pittsfield, IL HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $519.68 $866.13 Jun 8, 2026
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Hshs Holy Family Hospital Greenville · St. Louis, MO-IL PT EVAL MOD COMPLEX 30 MIN $526.32 $731.00 Mar 24, 2026
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Sarah Bush Lincoln Health Center Mattoon · Charleston-Mattoon, IL Evaluation for physical therapy, typically 30 minutes $595.00 $595.00 Jun 3, 2026
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Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton · Chicago-Naperville-Elgin, IL-IN HB Pt Eval Mod Complex $611.10 $873.00 Apr 1, 2026
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The Carle Foundation Hospital Urbana · Champaign-Urbana, IL Pt Eval Moderate Complexity (0-30 Minutes) $630.00 $630.00 Apr 15, 2026
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Edward Hospital Naperville · Chicago-Naperville-Elgin, IL-IN HC PT EVAL MODERATE COMPLEXITY $709.00 $709.00 Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst · Chicago-Naperville-Elgin, IL-IN HC PT EVAL MODERATE COMPLEXITY $709.00 $709.00 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 $42.50 $216.02
St. Louis, MO-IL 7 $151.90 $334.35
Peoria, IL 4 $333.00 $462.00
Champaign-Urbana, IL 3 $300.00 $501.00
Davenport-Moline-Rock Island, IA-IL 3 $91.20 $99.00
Carbondale, IL 2 $424.00 $424.00
Charleston-Mattoon, IL 2 $513.36 $554.18
Marion-Herrin, IL 2 $259.83 $341.92
Anna, IL 1 $212.54 $212.54
Bloomington, IL 1 $333.00 $333.00
Carrollton, IL 1 $234.40 $234.40
Clinton, IL 1 $467.90 $467.90
Centralia, IL 1 $191.11 $191.11
Danville, IL 1 $362.00 $362.00
Decatur, IL 1 $434.16 $434.16
Eldorado, IL 1 $316.50 $316.50
Fairfield, IL 1 $152.00 $152.00
Flora, IL 1 $336.00 $336.00
Freeport, IL 1 $172.00 $172.00
Harrisburg, IL 1 $424.00 $424.00
Kankakee, IL 1 $132.83 $132.83
Litchfield, IL 1 $273.60 $273.60
McLeansboror, IL 1 $180.50 $180.50
Nashville, IL 1 $305.60 $305.60
Olney, IL 1 $340.00 $340.00
Pittsfield, IL 1 $519.68 $519.68
Robinson, IL 1 $284.80 $284.80
Rushville, IL 1 $392.40 $392.40
Rochelle, IL 1 $406.00 $406.00
Rockford, IL 1 $139.69 $139.69
Shelbyville, IL 1 $257.76 $257.76
Springfield, IL 1 $489.60 $489.60
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, mod. complexity is, what the price covers and why prices differ: PT evaluation, mod. complexity explained.

Physical therapy evaluation, moderate complexity (typically about 30 minutes) in other states

Median cash price across the state's hospitals.