Doctor visits and therapy CPT 97162 Maine Outpatient

PT evaluation, mod. complexity cost in Maine

In Maine, 23 hospitals publish a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $60.27 to $706.05, with a median of $270.90. The lowest price is at Northern Light AR Gould Hospital (Presque Isle). The highest price is 11.7× the lowest.

  • The median here, $270.90, is 20% above the US median of $226.32.
  • That is 2.8× Medicare's 2026 national rate for the same service ($97.86).
  • Maine ranks 33rd of 50 states by median, cheapest first.
  • 8 of 23 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 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$60.27Northern Light AR Gould Hospital
Median$270.90half of hospitals charge less
Highest$706.05in Maine
Lowest saves$210.63vs the median

Hospitals in Maine, cheapest first

HospitalCash priceList priceFile date
Northern Light AR Gould Hospital lowest Presque Isle · Presque Isle, ME PT EVAL MOD COMPLEXITY $60.27 $287.00 Mar 30, 2026
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Northern Light Eastern Maine Medical Center Bangor · Bangor, ME MROC PT EVAL MOD COMPLEXITY $65.52 $312.00 Feb 3, 2026
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Northern Light Maine Coast Hospital Ellsworth · Ellsworth, ME PT Evaluation Units, Moderate Complexity $75.00 $300.00 Mar 30, 2026
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Central Maine Medical Center Lewiston · Lewiston-Auburn, ME HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN $94.00 $525.94 Jun 25, 2026
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Northern Light Mercy Hospital Portland · Portland-South Portland, ME PT EVALUATION MOD COMPLEXITY $125.58 $483.00 Apr 15, 2026
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Rumford Hospital Rumford · Rumford, ME HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN $152.00 $525.94 Apr 29, 2026
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Northern Light Sebasticook Valley Hospital Pittsfield · Pittsfield, ME LYMPHEDEMA EVALUATION, MOD $159.12 $468.00 Mar 30, 2026
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Bridgton Hospital Bridgton · Portland-South Portland, ME HC PHYS THRP EVAL, MODERATE COMPLEXITY, 30 MIN $163.00 $525.94 Apr 29, 2026
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Blue Hill Memorial Hospital Blue Hill · Blue Hill, ME PT EVAL MOD COMPLEX 30 MIN $173.16 $468.00 Mar 30, 2026
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Down East Community Hospital Machias · Machias, ME Pt Moderate Complex Units $201.00 $268.00 —
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Northern Light CA Dean Hospital Greenville · Greenville, ME P.T. EVAL MODERATE COMPLEXITY $234.00 $468.00 Mar 30, 2026
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Millinocket Regional Hospital Millinocket · Bangor, ME EVALUATION PHYS THER MODERATE $270.90 $301.00 May 26, 2026
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Calais Community Hospital Calais · Calais, ME Pt Evaluation, Moderate Complexity $281.00 $375.00 —
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MaineHealth Mid Coast Hospital Brunswick · Portland-South Portland, ME HC PT EVAL MOD COMPLEX $287.65 $287.65 Oct 30, 2026
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Houlton Regional Hospital Houlton · Houlton, ME PT EVAL MODERATE COMPLEXITY $296.40 $312.00 Mar 25, 2026
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Penobscot Valley Hospital Lincoln · Bangor, ME PT EVALUATION MODERATE COMPLEXITY $309.17 $386.46 Apr 24, 2026
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MaineHealth Westbrook · Portland-South Portland, ME HC PT EVAL MOD COMPLEX - ACADEMY $337.80 $337.80 Oct 30, 2026
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LincolnHealth Damariscotta · Damariscotta, ME HC PT EVAL MOD COMPLEX $362.90 $362.90 Oct 30, 2026
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MaineHealth Waldo Hospital Belfast · Belfast, ME HC PT EVAL MOD COMPLEX $392.45 $392.45 Oct 30, 2026
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MaineHealth Pen Bay Hospital Rockport · Rockport, ME HC PT EVAL MOD COMPLEX $396.90 $396.90 Oct 30, 2026
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MaineHealth Stephens Hospital Norway · Norway, ME HC PT EVAL MOD COMPLEX $499.90 $499.90 Oct 30, 2026
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MaineHealth Franklin Hospital Farmington · Farmington, ME HC PT EVAL MOD COMPLEX $526.60 $526.60 Oct 30, 2026
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MaineHealth Maine Medical Center Biddeford Biddeford · Portland-South Portland, ME HC PT EVAL MOD COMPLEX $706.05 $706.05 Oct 30, 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
Portland-South Portland, ME 5 $125.58 $287.65
Bangor, ME 3 $65.52 $270.90
Belfast, ME 1 $392.45 $392.45
Blue Hill, ME 1 $173.16 $173.16
Calais, ME 1 $281.00 $281.00
Damariscotta, ME 1 $362.90 $362.90
Ellsworth, ME 1 $75.00 $75.00
Farmington, ME 1 $526.60 $526.60
Greenville, ME 1 $234.00 $234.00
Houlton, ME 1 $296.40 $296.40
Lewiston-Auburn, ME 1 $94.00 $94.00
Machias, ME 1 $201.00 $201.00
Norway, ME 1 $499.90 $499.90
Pittsfield, ME 1 $159.12 $159.12
Presque Isle, ME 1 $60.27 $60.27
Rockport, ME 1 $396.90 $396.90
Rumford, ME 1 $152.00 $152.00
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.