Doctor visits and therapy CPT 97162 Wisconsin Outpatient

PT evaluation, mod. complexity cost in Wisconsin

In Wisconsin, 46 hospitals publish a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $95.70 to $492.53, with a median of $232.45. The lowest price is at St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis (Sheboygan) and 3 other hospitals. The highest price is 5.1× the lowest.

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 Sep 23, 2026.

Lowest$95.70St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis + 3 more
Median$232.45half pay less
Highest$492.53in Wisconsin
Lowest saves$136.75vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash price List priceFile date
St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis lowest Sheboygan · Sheboygan, WI HC PT EVAL MOD COMPLEXITY 15MIN $95.70 $145.00 —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis lowest Green Bay · Green Bay, WI HC PT EVAL MOD COMPLEXITY 15MIN $95.70 $145.00 —
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St Clare Memorial Hospital lowest Oconto Falls · Green Bay, WI HC PT EVAL MOD COMPLEXITY 15MIN $95.70 $145.00 —
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St Marys Hospital Medical Center lowest Green Bay · Green Bay, WI HC PT EVAL MOD COMPLEXITY 15MIN $95.70 $145.00 —
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Amery Hospital East Amery · East Amery, WI Physical Therapy Evaulation $106.89 $205.00 —
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Columbia St. Mary's Hospital Milwaukee Milwaukee · Milwaukee-Waukesha, WI HC PT EVAL MOD COMPLEX $152.64 $288.00 —
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Columbia St. Mary's Hospital Ozaukee Mequon · Milwaukee-Waukesha, WI HC PT EVAL MOD COMPLEX $152.64 $288.00 —
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Essentia Health St Marys Hospital-Superior Superior · Duluth, MN-WI PHYSICAL THERAPY EVALUATION MOD COMPLEX $184.01 $249.00 Jan 1, 2026
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Ascension NE Wisconsin Oshkosh · Oshkosh-Neenah, WI HC PT EVAL MOD COMPLEX $184.11 $323.00 —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC PT EVAL MOD COMPLEX $184.11 $323.00 —
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Aspirus Divine Savior Hospital Portage · Madison, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Eagle River Hospital Eagle River · Eagle River, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Langlade Hospital Antigo · Antigo, WI Fac Physical Therapy Evaluation Mod Complex $224.90 $346.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI Fac Physical Therapy Evaluation Mod Complex $224.90 $346.00 Apr 1, 2026
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Aspirus Merrill Hospital Merrill · Merrill, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Stanley Hospital Stanley · Eau Claire, WI Fac Physical Therapy Evaluation Mod Complex $224.90 $346.00 Apr 1, 2026
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Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI Fac Physical Therapy Evaluation Mod Complex $224.90 $346.00 Apr 1, 2026
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Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Wausau Hospital Wausau · Wausau, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Howard Young Medical Center Woodruff · Woodruff, WI PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $224.90 $346.00 Apr 1, 2026
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Aurora BayCare Medical Center Green Bay · Green Bay, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Bay Area Marinette · Marinette, WI-MI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Fond du Lac Fond Du Lac · Fond du Lac, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Psychiatric Hospital Wauwatosa · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora St Lukes South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI PT EVAL MOD COMPLEXITY $240.00 $480.00 Nov 21, 2025
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Allina Health Systems River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG PT EVAL MOD COMPLEXITY XP $240.35 $429.20 Jun 15, 2026
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Ascension Calumet Hospital Chilton · Appleton, WI HC PT EVAL MOD COMPLEX $269.04 $472.00 —
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AdventHealth Durand Durand · Durand, WI HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $272.32 $272.32 Apr 1, 2026
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Children's Hospital of Wisconsin Milwaukee · Milwaukee-Waukesha, WI HBC PT EVALUATION MODERATE COMPLEXITY $289.30 $526.00 Mar 23, 2026
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UnityPoint Health - Meriter Madison · Madison, WI HC PT EVAL MOD COMPLEX $492.53 $615.66 Jan 28, 2026
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By metro area

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

Metro areaHospitals LowestMedian
Milwaukee-Waukesha, WI 12 $152.64 $240.00
Green Bay, WI 4 $95.70 $95.70
Appleton, WI 2 $184.11 $226.58
Madison, WI 2 $224.90 $358.72
Oshkosh-Neenah, WI 2 $184.11 $212.06
Racine-Mount Pleasant, WI 2 $240.00 $240.00
Sheboygan, WI 2 $95.70 $167.85
Stevens Point-Plover, WI 2 $224.90 $224.90
Antigo, WI 1 $224.90 $224.90
Durand, WI 1 $272.32 $272.32
Duluth, MN-WI 1 $184.01 $184.01
Eagle River, WI 1 $224.90 $224.90
East Amery, WI 1 $106.89 $106.89
Eau Claire, WI 1 $224.90 $224.90
Fond du Lac, WI 1 $240.00 $240.00
Medford, WI 1 $224.90 $224.90
Merrill, WI 1 $224.90 $224.90
Manitowoc, WI 1 $240.00 $240.00
Marinette, WI-MI 1 $240.00 $240.00
Minneapolis-St. Paul-Bloomington, MN-WI 1 $240.35 $240.35
Rhinelander, WI 1 $224.90 $224.90
Tomahawk, WI 1 $224.90 $224.90
Woodruff, WI 1 $224.90 $224.90
Wausau, WI 1 $224.90 $224.90
Whitewater-Elkhorn, WI 1 $240.00 $240.00
Wisconsin Rapids-Marshfield, WI 1 $224.90 $224.90

What it is

This is a first physical therapy evaluation of moderate complexity, typically about 30 minutes face to face. It is used when the problem is changing or other health conditions affect the plan of care.

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.

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

Median cash price across the state's hospitals.