Doctor visits and therapy CPT 97163 520 markets

PT evaluation, high complexity cost without insurance

Across 520 US markets, hospitals list an outpatient cash price for physical therapy evaluation, high complexity (typically about 45 minutes) from $25.76 to $1,656.00. The median market price is $242.54. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Sep 25, 2026 Each price links to its source file All Physical therapy costs

Lowest$25.76any market
Median market$242.54middle of market medians
Highest$1,656.00any market
Listings1,259hospital prices

Compared with Medicare

$97.86 is Medicare's 2026 national fee schedule rate for this service outside a hospital stay, including the patient's share and before the local wage adjustment. The median hospital cash price, $259.50 across 1,265 hospitals, is 2.7× that.

Researchers often measure hospital prices as a multiple of Medicare's rate, and it is a concrete number to mention when you ask a hospital for a cash discount. Source: CMS.

What it is

This is a first physical therapy evaluation of high complexity, typically about 45 minutes face to face. It is used for an unstable or unpredictable problem, often with several other health conditions, such as after a major surgery or neurological illness.

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.

Why prices differ

Prices differ between hospital outpatient departments and private physical therapy clinics, and hospital settings may add facility fees.

What to ask

Ask whether the self-pay price for CPT 97163 includes any treatment on the same day or only the evaluation.

Prices by state

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowest MedianHighest×
Ada, MN single city 1 $200.27 $200.27 $200.27 1.0×
Ahoskie, NC single city 1 $264.32 $264.32 $264.32 1.0×
Anaconda, MT single city 1 $210.75 $210.75 $210.75 1.0×
Anchorage, AK single city 1 $799.50 $799.50 $799.50 1.0×
Anna, IL single city 1 $63.70 $63.70 $63.70 1.0×
Antigo, WI single city 1 $274.30 $274.30 $274.30 1.0×
Aurora, MO single city 1 $89.70 $89.70 $89.70 1.0×
Aberdeen, SD 1 $352.00 $352.00 $352.00 1.0×
Ada, OK 1 $184.60 $184.60 $184.60 1.0×
Akron, OH 4 $297.00 $386.00 $624.00 2.1×
Albany, OR 2 $232.80 $232.80 $232.80 1.0×
Albany-Schenectady-Troy, NY 3 $317.20 $317.20 $317.20 1.0×
Albemarle, NC 1 $421.00 $421.00 $421.00 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $120.93 $120.93 $120.93 1.0×
Altoona, PA 1 $567.00 $567.00 $567.00 1.0×
Anchorage, AK 3 $226.20 $528.06 $594.00 2.6×
Ann Arbor, MI 1 $180.00 $180.00 $180.00 1.0×
Appleton, WI 2 $215.46 $269.33 $323.19 1.5×
Ardmore, OK 3 $142.50 $154.05 $184.60 1.3×
Asheville, NC 1 $517.00 $517.00 $517.00 1.0×
Ashland, OH 1 $273.00 $273.00 $273.00 1.0×
Astoria, OR 1 $393.75 $393.75 $393.75 1.0×
Athens, OH 1 $301.60 $301.60 $301.60 1.0×
Atlanta-Sandy Springs-Roswell, GA 18 $146.25 $348.63 $1,582.00 10.8×
Auburn-Opelika, AL 1 $106.15 $106.15 $106.15 1.0×
Augusta-Richmond County, GA-SC 1 $146.25 $146.25 $146.25 1.0×
Austin-Round Rock-San Marcos, TX 12 $60.12 $395.51 $395.51 6.6×
Bad Axe, MI single city 1 $93.00 $93.00 $93.00 1.0×
Bagley, MN single city 1 $340.80 $340.80 $340.80 1.0×
Belfast, ME single city 1 $371.10 $371.10 $371.10 1.0×
Berryville, AR single city 1 $150.15 $150.15 $150.15 1.0×
Big Stone Gap, VA single city 1 $81.75 $81.75 $81.75 1.0×
Blue Hill, ME single city 1 $181.67 $181.67 $181.67 1.0×
Booneville, AR single city 1 $154.70 $154.70 $154.70 1.0×
Bridgeport, CT single city 1 $412.56 $412.56 $412.56 1.0×
Brookville, PA single city 1 $567.00 $567.00 $567.00 1.0×
Bryant, AR single city 1 $142.40 $142.40 $142.40 1.0×
Buckhannon, WV single city 1 $141.00 $141.00 $141.00 1.0×
Burnet, TX single city 1 $178.20 $178.20 $178.20 1.0×
Baker City, OR 1 $204.10 $204.10 $204.10 1.0×
Bakersfield-Delano, CA 1 $284.74 $284.74 $284.74 1.0×
Baltimore-Columbia-Towson, MD 4 $170.54 $186.07 $1,296.00 7.6×
Bangor, ME 1 $70.35 $70.35 $70.35 1.0×
Barre, VT 1 $322.94 $322.94 $322.94 1.0×
Bartlesville, OK 1 $74.56 $74.56 $74.56 1.0×
Batavia, NY 1 $361.30 $361.30 $361.30 1.0×
Bay City, MI 1 $220.15 $220.15 $220.15 1.0×
Bellingham, WA 1 $269.10 $269.10 $269.10 1.0×
Bemidji, MN 1 $340.80 $340.80 $340.80 1.0×
Bend, OR 4 $345.50 $345.50 $345.50 1.0×
Big Rapids, MI 1 $205.00 $205.00 $205.00 1.0×
Birmingham, AL 5 $124.55 $828.00 $828.00 6.6×
Bismarck, ND 2 $159.12 $227.16 $295.20 1.9×
Bloomington, IN 1 $94.00 $94.00 $94.00 1.0×
Bluefield, WV-VA 1 $282.00 $282.00 $282.00 1.0×
Boise City, ID 4 $204.10 $225.05 $246.00 1.2×
Boston-Cambridge-Newton, MA-NH 7 $142.73 $205.00 $433.30 3.0×
Boulder, CO 1 $928.55 $928.55 $928.55 1.0×
Bozeman, MT 1 $166.40 $166.40 $166.40 1.0×
Bradford, PA 1 $174.00 $174.00 $174.00 1.0×
Brainerd, MN 1 $182.38 $182.38 $182.38 1.0×
Brattleboro, VT 1 $269.57 $269.57 $269.57 1.0×
Brenham, TX 1 $374.69 $374.69 $374.69 1.0×
Buffalo-Cheektowaga, NY 5 $95.00 $180.00 $482.35 5.1×
Burlington-South Burlington, VT 1 $358.00 $358.00 $358.00 1.0×
Cades, SC single city 1 $85.50 $85.50 $85.50 1.0×
Calhoun City, MS single city 1 $108.68 $108.68 $108.68 1.0×
Canby, MN single city 1 $323.20 $323.20 $323.20 1.0×
Caro, MI single city 1 $179.70 $179.70 $179.70 1.0×
Carthage, MS single city 1 $128.25 $128.25 $128.25 1.0×
Cassville, MO single city 1 $89.70 $89.70 $89.70 1.0×
Cedar Rapids, IA single city 1 $187.20 $187.20 $187.20 1.0×
Centerville, IA single city 1 $303.00 $303.00 $303.00 1.0×
Chamberlain, SD single city 1 $342.40 $342.40 $342.40 1.0×
Charlevoix, MI single city 1 $366.35 $366.35 $366.35 1.0×
Clear Lake, SD single city 1 $323.20 $323.20 $323.20 1.0×
Clintwood, VA single city 1 $80.27 $80.27 $80.27 1.0×
Columbus, NC single city 1 $439.53 $439.53 $439.53 1.0×
Concord, NC single city 1 $404.15 $404.15 $404.15 1.0×
Corning, IA single city 1 $48.48 $48.48 $48.48 1.0×
Coudersport, PA single city 1 $281.40 $281.40 $281.40 1.0×
Cadillac, MI 1 $262.65 $262.65 $262.65 1.0×
Calhoun, GA 1 $893.45 $893.45 $893.45 1.0×
Cambridge, OH 1 $213.85 $213.85 $213.85 1.0×
Canton-Massillon, OH 3 $168.30 $393.25 $419.40 2.5×
Cape Coral-Fort Myers, FL 5 $80.00 $80.00 $80.00 1.0×
Cape Girardeau, MO-IL 1 $247.65 $247.65 $247.65 1.0×
Cedar Rapids, IA 1 $158.84 $158.84 $158.84 1.0×
Cedartown, GA 1 $187.50 $187.50 $187.50 1.0×
Centralia, WA 1 $324.48 $324.48 $324.48 1.0×
Chambersburg, PA 2 $340.00 $340.00 $340.00 1.0×
Charleston, WV 1 $506.50 $506.50 $506.50 1.0×
Charleston-Mattoon, IL 1 $717.12 $717.12 $717.12 1.0×
Charleston-North Charleston, SC 5 $116.50 $211.90 $211.90 1.8×
Charlotte-Concord-Gastonia, NC-SC 14 $142.83 $404.15 $529.00 3.7×
Charlottesville, VA 1 $228.50 $228.50 $228.50 1.0×
Chattanooga, TN-GA 1 $91.34 $91.34 $91.34 1.0×
Cheyenne, WY 1 $189.45 $189.45 $189.45 1.0×
Chicago-Naperville-Elgin, IL-IN 48 $42.50 $230.48 $757.00 17.8×
Cincinnati, OH-KY-IN 12 $184.80 $196.20 $301.16 1.6×
Clarksburg, WV 1 $185.00 $185.00 $185.00 1.0×
Clarksville, TN-KY 1 $209.12 $209.12 $209.12 1.0×
Cleveland, OH 24 $117.95 $385.33 $449.40 3.8×
Clinton, IA 2 $104.40 $147.43 $190.45 1.8×
Coeur d'Alene, ID 1 $216.75 $216.75 $216.75 1.0×
College Station-Bryan, TX 1 $374.69 $374.69 $374.69 1.0×
Columbia, MO 1 $178.20 $178.20 $178.20 1.0×
Columbia, SC 3 $166.50 $166.50 $181.00 1.1×
Columbus, IN 1 $533.60 $533.60 $533.60 1.0×
Columbus, MS 1 $223.75 $223.75 $223.75 1.0×
Columbus, NE 1 $85.85 $85.85 $85.85 1.0×
Columbus, OH 15 $208.65 $384.15 $575.25 2.8×
Cookeville, TN 1 $129.60 $129.60 $129.60 1.0×
Coos Bay-North Bend, OR 1 $308.25 $308.25 $308.25 1.0×
Corbin, KY 2 $349.40 $404.15 $458.90 1.3×
Corning, NY 2 $68.00 $206.21 $344.42 5.1×
Corpus Christi, TX 1 $283.80 $283.80 $283.80 1.0×
Cortland, NY 1 $371.50 $371.50 $371.50 1.0×
Corvallis, OR 1 $232.80 $232.80 $232.80 1.0×
Crestview-Fort Walton Beach-Destin, FL 1 $238.00 $238.00 $238.00 1.0×
Cumberland, MD-WV 1 $219.50 $219.50 $219.50 1.0×
Damariscotta, ME single city 1 $441.30 $441.30 $441.30 1.0×
Decorah, IA single city 1 $184.10 $184.10 $184.10 1.0×
Dexter, MO single city 1 $105.30 $105.30 $105.30 1.0×
Dillon, MT single city 1 $291.65 $291.65 $291.65 1.0×
Durand, WI single city 1 $272.32 $272.32 $272.32 1.0×
Durham, NC single city 1 $160.92 $160.92 $160.92 1.0×
Dallas-Fort Worth-Arlington, TX 41 $84.60 $237.14 $650.00 7.7×
Dalton, GA 1 $893.45 $893.45 $893.45 1.0×
Danville, VA 1 $294.00 $294.00 $294.00 1.0×
Davenport-Moline-Rock Island, IA-IL 6 $90.00 $104.40 $187.20 2.1×
Dayton-Kettering-Beavercreek, OH 1 $357.00 $357.00 $357.00 1.0×
Decatur, IL 1 $511.20 $511.20 $511.20 1.0×
Decatur, IN 1 $456.00 $456.00 $456.00 1.0×
Defiance, OH 1 $202.20 $202.20 $202.20 1.0×
Deltona-Daytona Beach-Ormond Beach, FL 6 $325.95 $448.92 $667.18 2.0×
Denver-Aurora-Centennial, CO 10 $135.10 $699.72 $928.55 6.9×
Des Moines-West Des Moines, IA 4 $187.20 $234.65 $419.00 2.2×
Detroit Lakes, MN 1 $173.98 $173.98 $173.98 1.0×
Detroit-Warren-Dearborn, MI 24 $68.62 $178.44 $1,409.25 20.5×
Douglas, GA 1 $294.44 $294.44 $294.44 1.0×
Dover, DE 1 $275.52 $275.52 $275.52 1.0×
DuBois, PA 1 $567.00 $567.00 $567.00 1.0×
Dubuque, IA 3 $187.20 $195.65 $196.95 1.1×
Duluth, MN-WI 9 $169.15 $178.86 $229.57 1.4×
Durant, OK 1 $108.36 $108.36 $108.36 1.0×
Durham-Chapel Hill, NC 1 $160.92 $160.92 $160.92 1.0×
E Academy Paris, AR single city 1 $154.70 $154.70 $154.70 1.0×
Eagle River, WI single city 1 $274.30 $274.30 $274.30 1.0×
East Amery, WI single city 1 $124.09 $124.09 $124.09 1.0×
Edenton, NC single city 1 $322.00 $322.00 $322.00 1.0×
Elizabethtown, NY single city 1 $615.00 $615.00 $615.00 1.0×
Elkader, IA single city 1 $196.95 $196.95 $196.95 1.0×
Ellsworth, ME single city 1 $80.75 $80.75 $80.75 1.0×
Emporia, VA single city 1 $443.70 $443.70 $443.70 1.0×
Eau Claire, WI 1 $274.30 $274.30 $274.30 1.0×
El Paso, TX 2 $80.64 $117.32 $154.00 1.9×
Elizabeth City, NC 1 $303.50 $303.50 $303.50 1.0×
Elizabethtown, KY 1 $458.90 $458.90 $458.90 1.0×
Elkhart-Goshen, IN 1 $319.20 $319.20 $319.20 1.0×
Eugene-Springfield, OR 3 $218.40 $218.40 $244.40 1.1×
Eureka-Arcata, CA 2 $350.37 $350.63 $350.88 1.0×
Evansville, IN 3 $86.80 $220.80 $225.00 2.6×
Farmington, CT single city 1 $170.40 $170.40 $170.40 1.0×
Farmington, ME single city 1 $528.50 $528.50 $528.50 1.0×
Fremont, MI single city 1 $205.00 $205.00 $205.00 1.0×
Friday Harbor, WA single city 1 $241.15 $241.15 $241.15 1.0×
Fairbanks-College, AK 1 $369.21 $369.21 $369.21 1.0×
Fargo, ND-MN 1 $308.80 $308.80 $308.80 1.0×
Faribault-Northfield, MN 1 $240.35 $240.35 $240.35 1.0×
Fayetteville-Springdale-Rogers, AR 2 $152.75 $231.74 $310.73 2.0×
Flint, MI 1 $131.15 $131.15 $131.15 1.0×
Florence, SC 1 $503.50 $503.50 $503.50 1.0×
Fond du Lac, WI 1 $310.00 $310.00 $310.00 1.0×
Fort Dodge, IA 1 $187.20 $187.20 $187.20 1.0×
Fort Smith, AR-OK 1 $152.75 $152.75 $152.75 1.0×
Fort Wayne, IN 4 $187.44 $197.37 $232.50 1.2×
Fresno, CA 3 $388.80 $388.80 $453.60 1.2×
Garrison, ND single city 1 $227.12 $227.12 $227.12 1.0×
Gaylord, MI single city 1 $362.95 $362.95 $362.95 1.0×
Graceville, MN single city 1 $200.27 $200.27 $200.27 1.0×
Grayling, MI single city 1 $282.20 $282.20 $282.20 1.0×
Greenville, ME single city 1 $245.50 $245.50 $245.50 1.0×
Grinnell, IA single city 1 $187.20 $187.20 $187.20 1.0×
Gainesville, FL 1 $242.55 $242.55 $242.55 1.0×
Gettysburg, PA 1 $333.60 $333.60 $333.60 1.0×
Grand Forks, ND-MN 1 $200.27 $200.27 $200.27 1.0×
Grand Island, NE 1 $107.97 $107.97 $107.97 1.0×
Grand Rapids, MN 2 $169.15 $184.71 $200.27 1.2×
Grand Rapids-Wyoming-Kentwood, MI 5 $195.00 $205.00 $491.00 2.5×
Great Falls, MT 1 $308.00 $308.00 $308.00 1.0×
Green Bay, WI 4 $95.70 $95.70 $310.00 3.2×
Greeneville, TN 1 $81.75 $81.75 $81.75 1.0×
Greensboro-High Point, NC 1 $207.00 $207.00 $207.00 1.0×
Greenville, NC 1 $451.03 $451.03 $451.03 1.0×
Greenville-Anderson-Greer, SC 1 $294.00 $294.00 $294.00 1.0×
Hartford, CT single city 4 $202.00 $368.58 $441.65 2.2×
Hillsboro, ND single city 1 $312.00 $312.00 $312.00 1.0×
Huntingdon, TN single city 1 $205.85 $205.85 $205.85 1.0×
Hagerstown-Martinsburg, MD-WV 1 $216.50 $216.50 $216.50 1.0×
Hailey, ID 1 $246.00 $246.00 $246.00 1.0×
Hammond, LA 1 $134.66 $134.66 $134.66 1.0×
Harrisburg-Carlisle, PA 4 $104.68 $168.85 $202.09 1.9×
Harrisonburg, VA 1 $228.50 $228.50 $228.50 1.0×
Helena, MT 1 $228.23 $228.23 $228.23 1.0×
Henderson, KY 1 $86.80 $86.80 $86.80 1.0×
Hilton Head Island-Bluffton-Port Royal, SC 1 $234.00 $234.00 $234.00 1.0×
Hobbs, NM 1 $162.12 $162.12 $162.12 1.0×
Holland, MI 2 $158.42 $172.21 $186.00 1.2×
Hood River, OR 1 $141.00 $141.00 $141.00 1.0×
Houghton, MI 1 $274.30 $274.30 $274.30 1.0×
Houston-Pasadena-The Woodlands, TX 11 $99.38 $473.50 $473.50 4.8×
Huntingdon, PA 1 $567.00 $567.00 $567.00 1.0×
Huntington-Ashland, WV-KY-OH 1 $163.54 $163.54 $163.54 1.0×
Huntsville, AL 1 $117.90 $117.90 $117.90 1.0×
Hutchinson, MN 1 $215.28 $215.28 $215.28 1.0×
Iron River, MI single city 1 $274.30 $274.30 $274.30 1.0×
Ironwood, MI single city 1 $274.30 $274.30 $274.30 1.0×
Indianapolis-Carmel-Greenwood, IN 13 $153.45 $279.00 $576.98 3.8×
Jackson, MN single city 1 $325.60 $325.60 $325.60 1.0×
Joe, FL single city 1 $196.00 $196.00 $196.00 1.0×
John Day, OR single city 1 $273.00 $273.00 $273.00 1.0×
Jackson, MS 3 $59.85 $116.85 $226.62 3.8×
Jacksonville, FL 10 $100.92 $401.21 $650.00 6.4×
Jamestown-Dunkirk, NY 1 $512.46 $512.46 $512.46 1.0×
Jasper, IN 1 $86.80 $86.80 $86.80 1.0×
Johnson City, TN 3 $81.75 $81.75 $81.75 1.0×
Jonesboro, AR 1 $115.14 $115.14 $115.14 1.0×
Joplin, MO-KS 5 $137.80 $148.20 $184.60 1.3×
Kenansville, NC single city 1 $307.44 $307.44 $307.44 1.0×
Kenton, OH single city 1 $345.15 $345.15 $345.15 1.0×
Kilmarnock, VA single city 1 $215.40 $215.40 $215.40 1.0×
Kingfisher, OK single city 1 $168.35 $168.35 $168.35 1.0×
Kodiak, AK single city 1 $598.26 $598.26 $598.26 1.0×
Kosciusko, MS single city 1 $125.40 $125.40 $125.40 1.0×
Kankakee, IL 1 $179.69 $179.69 $179.69 1.0×
Kansas City, MO-KS 5 $95.00 $177.60 $754.41 7.9×
Kearney, NE 1 $200.08 $200.08 $200.08 1.0×
Kennewick-Richland, WA 1 $247.80 $247.80 $247.80 1.0×
Ketchikan, AK 1 $312.00 $312.00 $312.00 1.0×
Key West-Key Largo, FL 2 $586.95 $586.95 $586.95 1.0×
Kill Devil Hills, NC 1 $353.92 $353.92 $353.92 1.0×
Killeen-Temple, TX 5 $374.69 $374.69 $554.20 1.5×
Kingsport-Bristol, TN-VA 5 $81.75 $81.75 $81.75 1.0×
Kokomo, IN 1 $216.60 $216.60 $216.60 1.0×
Lebanon, VA single city 1 $81.75 $81.75 $81.75 1.0×
LaGrange, GA-AL 1 $146.25 $146.25 $146.25 1.0×
Lafayette-West Lafayette, IN 1 $235.20 $235.20 $235.20 1.0×
Lakeland-Winter Haven, FL 3 $212.40 $589.05 $702.45 3.3×
Lancaster, PA 2 $176.84 $355.62 $534.40 3.0×
Lansing-East Lansing, MI 1 $160.55 $160.55 $160.55 1.0×
Las Vegas-Henderson-North Las Vegas, NV 3 $97.00 $269.40 $345.00 3.6×
Laurel, MS 1 $252.00 $252.00 $252.00 1.0×
Lebanon, MO 1 $192.40 $192.40 $192.40 1.0×
Lebanon, PA 1 $518.40 $518.40 $518.40 1.0×
Lebanon-Claremont, NH-VT 2 $98.45 $135.21 $171.97 1.7×
Lewisburg, PA 1 $322.40 $322.40 $322.40 1.0×
Lewiston-Auburn, ME 1 $94.00 $94.00 $94.00 1.0×
Lexington-Fayette, KY 2 $188.31 $323.61 $458.90 2.4×
Lima, OH 1 $277.20 $277.20 $277.20 1.0×
Lincoln, NE 2 $105.00 $105.40 $105.80 1.0×
Little Rock-North Little Rock-Conway, AR 3 $142.40 $310.73 $374.40 2.6×
Longview-Kelso, WA 1 $378.30 $378.30 $378.30 1.0×
Los Angeles-Long Beach-Anaheim, CA 29 $108.00 $293.60 $1,468.62 13.6×
Louisville/Jefferson County, KY-IN 6 $25.76 $380.05 $458.90 17.8×
Lubbock, TX 6 $141.96 $262.08 $667.00 4.7×
Ludington, MI 1 $205.00 $205.00 $205.00 1.0×
Madill, OK single city 1 $270.20 $270.20 $270.20 1.0×
Malone, NY single city 1 $275.00 $275.00 $275.00 1.0×
Manistee, MI single city 1 $266.05 $266.05 $266.05 1.0×
Marble Falls, TX single city 1 $374.69 $374.69 $374.69 1.0×
Marietta, OK single city 1 $237.00 $237.00 $237.00 1.0×
Marion, VA single city 1 $81.75 $81.75 $81.75 1.0×
Mayville, ND single city 1 $312.00 $312.00 $312.00 1.0×
McCall, ID single city 1 $246.00 $246.00 $246.00 1.0×
Medford, WI single city 1 $274.30 $274.30 $274.30 1.0×
Merrill, WI single city 1 $274.30 $274.30 $274.30 1.0×
Middlebury, VT single city 1 $393.00 $393.00 $393.00 1.0×
Millersburg, OH single city 1 $184.00 $184.00 $184.00 1.0×
Morganfield, KY single city 1 $86.80 $86.80 $86.80 1.0×
Mountain City, TN single city 1 $80.27 $80.27 $80.27 1.0×
Mullins, SC single city 1 $229.50 $229.50 $229.50 1.0×
Murphy, NC single city 1 $121.10 $121.10 $121.10 1.0×
Macon-Bibb County, GA 2 $238.50 $266.00 $293.50 1.2×
Madison, IN 1 $130.24 $130.24 $130.24 1.0×
Madison, WI 2 $274.30 $403.12 $531.94 1.9×
Manhattan, KS 2 $97.60 $114.60 $131.60 1.3×
Manitowoc, WI 1 $310.00 $310.00 $310.00 1.0×
Mansfield, OH 2 $266.50 $266.50 $266.50 1.0×
Marinette, WI-MI 1 $310.00 $310.00 $310.00 1.0×
Marion, OH 1 $280.15 $280.15 $280.15 1.0×
Marion-Herrin, IL 1 $63.70 $63.70 $63.70 1.0×
Marshall, MN 1 $352.80 $352.80 $352.80 1.0×
Marshalltown, IA 1 $187.20 $187.20 $187.20 1.0×
Martinsville, VA 1 $294.00 $294.00 $294.00 1.0×
Mason City, IA 1 $164.45 $164.45 $164.45 1.0×
Massena-Ogdensburg, NY 3 $163.33 $169.56 $184.74 1.1×
McAllen-Edinburg-Mission, TX 1 $326.48 $326.48 $326.48 1.0×
McMinnville, TN 1 $123.42 $123.42 $123.42 1.0×
Medford, OR 1 $270.75 $270.75 $270.75 1.0×
Memphis, TN-MS-AR 12 $80.74 $106.15 $221.28 2.7×
Meridian, MS 2 $53.02 $74.71 $96.40 1.8×
Miami-Fort Lauderdale-West Palm Beach, FL 17 $101.22 $546.70 $586.95 5.8×
Michigan City-La Porte, IN 1 $124.47 $124.47 $124.47 1.0×
Milledgeville, GA 1 $196.50 $196.50 $196.50 1.0×
Milwaukee-Waukesha, WI 12 $191.33 $310.00 $331.51 1.7×
Minneapolis-St. Paul-Bloomington, MN-WI 18 $75.40 $159.60 $240.35 3.2×
Missoula, MT 1 $187.20 $187.20 $187.20 1.0×
Mobile, AL 1 $549.24 $549.24 $549.24 1.0×
Modesto, CA 1 $453.60 $453.60 $453.60 1.0×
Morgantown, WV 1 $450.00 $450.00 $450.00 1.0×
Mount Airy, NC 1 $235.50 $235.50 $235.50 1.0×
Mount Pleasant, MI 1 $194.15 $194.15 $194.15 1.0×
Mount Vernon, IL 1 $63.70 $63.70 $63.70 1.0×
Mount Vernon-Anacortes, WA 2 $253.50 $297.55 $341.60 1.3×
Muscatine, IA 1 $187.20 $187.20 $187.20 1.0×
Nebraska City, NE single city 1 $205.84 $205.84 $205.84 1.0×
New Albany, MS single city 1 $214.80 $214.80 $214.80 1.0×
New Britain, CT single city 1 $412.56 $412.56 $412.56 1.0×
New Hampton, IA single city 1 $196.95 $196.95 $196.95 1.0×
New Martinsville, WV single city 1 $288.00 $288.00 $288.00 1.0×
Newberry, MI single city 1 $267.44 $267.44 $267.44 1.0×
North Conway, NH single city 1 $320.55 $320.55 $320.55 1.0×
North Vernon, IN single city 1 $207.60 $207.60 $207.60 1.0×
Norway, ME single city 1 $455.60 $455.60 $455.60 1.0×
Norwich, CT single city 1 $413.00 $413.00 $413.00 1.0×
Nowata, OK single city 1 $74.56 $74.56 $74.56 1.0×
Napa, CA 1 $211.14 $211.14 $211.14 1.0×
Nashville-Davidson--Murfreesboro--Franklin, TN 4 $69.56 $112.21 $288.36 4.1×
Natchitoches, LA 1 $108.00 $108.00 $108.00 1.0×
New Castle, IN 1 $371.98 $371.98 $371.98 1.0×
New Orleans-Metairie, LA 8 $43.54 $75.76 $192.78 4.4×
New Philadelphia-Dover, OH 1 $393.25 $393.25 $393.25 1.0×
New Ulm, MN 1 $192.92 $192.92 $192.92 1.0×
New York-Newark-Jersey City, NY-NJ 47 $108.00 $203.30 $1,656.00 15.3×
Newport, OR 2 $232.80 $232.80 $232.80 1.0×
Niles, MI 2 $369.00 $369.00 $369.00 1.0×
Norfolk, NE 1 $84.84 $84.84 $84.84 1.0×
North Wilkesboro, NC 1 $235.50 $235.50 $235.50 1.0×
Norwalk, OH 1 $315.00 $315.00 $315.00 1.0×
Olivia, MN single city 1 $162.87 $162.87 $162.87 1.0×
Ontario, CA single city 1 $490.36 $490.36 $490.36 1.0×
Ozark, AR single city 1 $154.70 $154.70 $154.70 1.0×
Ocala, FL 1 $388.46 $388.46 $388.46 1.0×
Ocean Pines, MD 1 $429.68 $429.68 $429.68 1.0×
Oklahoma City, OK 6 $65.40 $164.45 $182.86 2.8×
Olympia-Lacey-Tumwater, WA 1 $324.48 $324.48 $324.48 1.0×
Omaha, NE-IA 9 $49.49 $107.10 $169.00 3.4×
Ontario, OR-ID 1 $204.10 $204.10 $204.10 1.0×
Orangeburg, SC 1 $116.50 $116.50 $116.50 1.0×
Orlando-Kissimmee-Sanford, FL 8 $212.40 $227.48 $894.00 4.2×
Oshkosh-Neenah, WI 2 $215.46 $262.73 $310.00 1.4×
Ottawa, KS 1 $754.41 $754.41 $754.41 1.0×
Owatonna, MN 1 $240.35 $240.35 $240.35 1.0×
Oxford, MS 1 $201.94 $201.94 $201.94 1.0×
Pennington Gap, VA single city 1 $80.27 $80.27 $80.27 1.0×
Perryville, MO single city 1 $87.10 $87.10 $87.10 1.0×
Petersburg, WV single city 1 $211.20 $211.20 $211.20 1.0×
Pikeville, TN single city 1 $50.00 $50.00 $50.00 1.0×
Pittsfield, ME single city 1 $166.94 $166.94 $166.94 1.0×
Polson, MT single city 1 $153.60 $153.60 $153.60 1.0×
Presque Isle, ME single city 1 $72.03 $72.03 $72.03 1.0×
Princeton, IN single city 1 $86.80 $86.80 $86.80 1.0×
Pulaski, TN single city 1 $299.28 $299.28 $299.28 1.0×
Putnam, CT single city 1 $101.29 $101.29 $101.29 1.0×
Paducah, KY-IL 2 $322.80 $390.85 $458.90 1.4×
Palm Bay-Melbourne-Titusville, FL 1 $212.40 $212.40 $212.40 1.0×
Panama City-Panama City Beach, FL 1 $146.00 $146.00 $146.00 1.0×
Parkersburg-Vienna, WV 1 $185.00 $185.00 $185.00 1.0×
Pensacola-Ferry Pass-Brent, FL 2 $80.80 $198.27 $315.74 3.9×
Peru, IN 1 $304.50 $304.50 $304.50 1.0×
Petoskey, MI 1 $181.50 $181.50 $181.50 1.0×
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 21 $49.50 $201.20 $1,280.12 25.9×
Phoenix-Mesa-Chandler, AZ 12 $145.39 $1,151.00 $1,151.00 7.9×
Pittsburg, KS 1 $96.85 $96.85 $96.85 1.0×
Pittsburgh, PA 3 $305.00 $345.00 $405.00 1.3×
Pittsfield, MA 3 $429.35 $429.35 $429.35 1.0×
Plainview, TX 1 $180.18 $180.18 $180.18 1.0×
Plattsburgh, NY 1 $264.00 $264.00 $264.00 1.0×
Plymouth, IN 1 $366.60 $366.60 $366.60 1.0×
Port St. Lucie, FL 1 $491.40 $491.40 $491.40 1.0×
Port Townsend, WA 1 $321.60 $321.60 $321.60 1.0×
Portland-South Portland, ME 6 $131.82 $285.00 $675.65 5.1×
Portland-Vancouver-Hillsboro, OR-WA 14 $196.95 $281.83 $400.40 2.0×
Portsmouth, OH 1 $202.66 $202.66 $202.66 1.0×
Providence-Warwick, RI-MA 2 $100.00 $122.90 $145.80 1.5×
Punta Gorda, FL 1 $845.68 $845.68 $845.68 1.0×
Reed City, MI single city 1 $205.00 $205.00 $205.00 1.0×
Rhinelander, WI single city 1 $274.30 $274.30 $274.30 1.0×
Richmond, CA single city 1 $453.60 $453.60 $453.60 1.0×
Ripley, WV single city 1 $150.00 $150.00 $150.00 1.0×
Rockport, ME single city 1 $262.15 $262.15 $262.15 1.0×
Rumford, ME single city 1 $152.00 $152.00 $152.00 1.0×
Racine-Mount Pleasant, WI 2 $310.00 $310.00 $310.00 1.0×
Raleigh-Cary, NC 1 $160.92 $160.92 $160.92 1.0×
Reading, PA 1 $158.66 $158.66 $158.66 1.0×
Redding, CA 1 $91.00 $91.00 $91.00 1.0×
Reno, NV 1 $97.00 $97.00 $97.00 1.0×
Richmond, VA 5 $107.40 $364.80 $364.80 3.4×
Richmond-Berea, KY 2 $294.60 $376.75 $458.90 1.6×
Riverside-San Bernardino-Ontario, CA 13 $103.00 $427.95 $1,146.56 11.1×
Roanoke Rapids, NC 1 $231.28 $231.28 $231.28 1.0×
Roanoke, VA 1 $202.20 $202.20 $202.20 1.0×
Rochester, NY 8 $98.00 $347.68 $444.67 4.5×
Rocky Mount, NC 1 $358.40 $358.40 $358.40 1.0×
Rome, GA 2 $259.50 $572.32 $885.13 3.4×
Sandstone, MN single city 1 $200.27 $200.27 $200.27 1.0×
Scottsburg, IN single city 1 $124.80 $124.80 $124.80 1.0×
Seward, AK single city 1 $599.04 $599.04 $599.04 1.0×
Shelbyville, IL single city 1 $321.84 $321.84 $321.84 1.0×
Sheldon, IA single city 1 $331.20 $331.20 $331.20 1.0×
Smithville, TN single city 1 $129.60 $129.60 $129.60 1.0×
Sneedville, TN single city 1 $80.27 $80.27 $80.27 1.0×
South Boston, VA single city 1 $286.50 $286.50 $286.50 1.0×
St. Paul, MN single city 1 $196.13 $196.13 $196.13 1.0×
Stafford Springs, CT single city 1 $215.60 $215.60 $215.60 1.0×
Suffolk, VA single city 1 $289.50 $289.50 $289.50 1.0×
Summersville, WV single city 1 $90.00 $90.00 $90.00 1.0×
Sacramento-Roseville-Folsom, CA 3 $453.60 $453.60 $453.60 1.0×
Safford, AZ 1 $174.00 $174.00 $174.00 1.0×
Salem, OR 4 $196.95 $206.17 $411.41 2.1×
Salinas, CA 1 $442.00 $442.00 $442.00 1.0×
Salisbury, MD 1 $182.84 $182.84 $182.84 1.0×
Salt Lake City-Murray, UT 1 $520.38 $520.38 $520.38 1.0×
San Antonio-New Braunfels, TX 1 $145.00 $145.00 $145.00 1.0×
San Diego-Chula Vista-Carlsbad, CA 6 $108.00 $399.73 $490.36 4.5×
San Francisco-Oakland-Fremont, CA 11 $387.60 $453.60 $697.00 1.8×
San Jose-Sunnyvale-Santa Clara, CA 5 $178.00 $453.60 $723.20 4.1×
Santa Cruz-Watsonville, CA 1 $959.67 $959.67 $959.67 1.0×
Santa Rosa-Petaluma, CA 4 $241.23 $273.87 $453.60 1.9×
Savannah, GA 2 $177.00 $177.00 $177.00 1.0×
Sayre, PA 3 $279.80 $294.58 $497.00 1.8×
Seaford, DE 2 $246.43 $260.98 $275.52 1.1×
Seattle-Tacoma-Bellevue, WA 9 $132.96 $211.64 $838.70 6.3×
Sebastian-Vero Beach-West Vero Corridor, FL 2 $212.40 $351.90 $491.40 2.3×
Sebring, FL 1 $820.01 $820.01 $820.01 1.0×
Sheboygan, WI 2 $95.70 $202.85 $310.00 3.2×
Shelby-Kings Mountain, NC 1 $404.15 $404.15 $404.15 1.0×
Shelbyville, TN 1 $154.86 $154.86 $154.86 1.0×
Sierra Vista-Douglas, AZ 1 $189.60 $189.60 $189.60 1.0×
Sioux City, IA-NE-SD 1 $187.20 $187.20 $187.20 1.0×
Sioux Falls, SD-MN 3 $229.60 $320.00 $367.20 1.6×
Slidell-Mandeville-Covington, LA 1 $43.54 $43.54 $43.54 1.0×
South Bend-Mishawaka, IN-MI 1 $366.60 $366.60 $366.60 1.0×
Spokane-Spokane Valley, WA 3 $123.20 $123.20 $244.30 2.0×
Springfield, IL 1 $560.88 $560.88 $560.88 1.0×
Springfield, MA 2 $328.00 $345.03 $362.05 1.1×
Springfield, MO 2 $214.50 $214.50 $214.50 1.0×
Springfield, OH 1 $586.20 $586.20 $586.20 1.0×
St. Louis, MO-IL 10 $103.35 $233.23 $789.84 7.6×
St. Marys, PA 1 $567.00 $567.00 $567.00 1.0×
Staunton-Stuarts Draft, VA 1 $251.50 $251.50 $251.50 1.0×
Stephenville, TX 1 $123.90 $123.90 $123.90 1.0×
Stevens Point-Plover, WI 2 $274.30 $274.30 $274.30 1.0×
Stockton-Lodi, CA 1 $453.60 $453.60 $453.60 1.0×
Storm Lake, IA 1 $362.40 $362.40 $362.40 1.0×
Syracuse, NY 2 $146.00 $245.58 $345.15 2.4×
Tell City, IN single city 1 $238.00 $238.00 $238.00 1.0×
Temple, TX single city 1 $374.69 $374.69 $374.69 1.0×
Thief River Falls, MN single city 2 $292.80 $292.80 $292.80 1.0×
Tishomingo, OK single city 1 $175.50 $175.50 $175.50 1.0×
Tomahawk, WI single city 1 $274.30 $274.30 $274.30 1.0×
Torrington, CT single city 1 $412.56 $412.56 $412.56 1.0×
Turtle Lake, ND single city 1 $300.33 $300.33 $300.33 1.0×
Two Harbors, MN single city 1 $347.31 $347.31 $347.31 1.0×
Talladega-Sylacauga, AL 1 $828.00 $828.00 $828.00 1.0×
Tampa-St. Petersburg-Clearwater, FL 12 $47.00 $750.11 $1,016.02 21.6×
Terre Haute, IN 1 $235.20 $235.20 $235.20 1.0×
Tiffin, OH 1 $243.00 $243.00 $243.00 1.0×
Toledo, OH 4 $330.60 $356.40 $498.00 1.5×
Traverse City, MI 3 $272.00 $277.10 $289.85 1.1×
Trenton-Princeton, NJ 2 $1,375.00 $1,375.00 $1,375.00 1.0×
Tucson, AZ 1 $111.72 $111.72 $111.72 1.0×
Tullahoma-Manchester, TN 1 $154.86 $154.86 $154.86 1.0×
Tulsa, OK 5 $74.56 $74.56 $74.56 1.0×
Tupelo, MS 1 $214.80 $214.80 $214.80 1.0×
Twin Falls, ID 1 $246.00 $246.00 $246.00 1.0×
Union City, TN 1 $173.20 $173.20 $173.20 1.0×
Urbana, OH 1 $617.40 $617.40 $617.40 1.0×
Valdez, AK single city 1 $679.38 $679.38 $679.38 1.0×
Vallejo, CA 3 $261.72 $453.60 $453.60 1.7×
Van Wert, OH 1 $256.75 $256.75 $256.75 1.0×
Vermillion, SD 1 $292.00 $292.00 $292.00 1.0×
Vineland, NJ 2 $513.34 $513.34 $513.34 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 8 $289.50 $289.50 $377.40 1.3×
Waldron, AR single city 1 $154.70 $154.70 $154.70 1.0×
Wallingford, CT single city 1 $207.60 $207.60 $207.60 1.0×
Waterbury, CT single city 2 $344.60 $402.48 $460.35 1.3×
Watonga, OK single city 1 $168.35 $168.35 $168.35 1.0×
Wauchula, FL single city 1 $388.51 $388.51 $388.51 1.0×
Webster, SD single city 1 $360.80 $360.80 $360.80 1.0×
Wellsville, NY single city 1 $132.00 $132.00 $132.00 1.0×
Westbrook, MN single city 1 $352.80 $352.80 $352.80 1.0×
Wheaton, MN single city 1 $228.00 $228.00 $228.00 1.0×
Willimantic, CT single city 1 $412.56 $412.56 $412.56 1.0×
Winamac, IN single city 1 $413.00 $413.00 $413.00 1.0×
Winchester, IN single city 1 $285.60 $285.60 $285.60 1.0×
Windsor, NC single city 1 $310.24 $310.24 $310.24 1.0×
Woodruff, WI single city 1 $274.30 $274.30 $274.30 1.0×
Waco, TX 2 $177.21 $275.95 $374.69 2.1×
Walla Walla, WA 1 $130.90 $130.90 $130.90 1.0×
Warner Robins, GA 1 $130.50 $130.50 $130.50 1.0×
Washington, NC 1 $451.03 $451.03 $451.03 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 7 $174.00 $246.00 $289.50 1.7×
Waterloo-Cedar Falls, IA 2 $187.20 $306.48 $425.75 2.3×
Wausau, WI 1 $274.30 $274.30 $274.30 1.0×
Weirton-Steubenville, WV-OH 1 $261.00 $261.00 $261.00 1.0×
Wenatchee-East Wenatchee, WA 1 $398.70 $398.70 $398.70 1.0×
West Plains, MO 1 $89.70 $89.70 $89.70 1.0×
Wheeling, WV-OH 3 $139.50 $175.00 $184.00 1.3×
Whitewater-Elkhorn, WI 1 $310.00 $310.00 $310.00 1.0×
Wichita, KS 1 $241.15 $241.15 $241.15 1.0×
Williston, ND 1 $219.24 $219.24 $219.24 1.0×
Wilmington, OH 1 $242.54 $242.54 $242.54 1.0×
Winston-Salem, NC 3 $216.50 $228.50 $319.50 1.5×
Wisconsin Rapids-Marshfield, WI 1 $274.30 $274.30 $274.30 1.0×
Wooster, OH 1 $164.25 $164.25 $164.25 1.0×
Worcester, MA 4 $498.00 $633.00 $767.00 1.5×
Worthington, MN 1 $241.60 $241.60 $241.60 1.0×
York-Hanover, PA 1 $333.60 $333.60 $333.60 1.0×

Common questions

Do I need a referral for physical therapy?

All states allow some direct access to physical therapists without a referral, but rules and limits vary by state.

How is this different from 97161 and 97162?

The three codes are the same kind of first evaluation at low, moderate and high complexity; the level reflects the patient's history, exam findings and how stable the problem is.

How much does Medicare pay for CPT 97163 (PT evaluation, high complexity)?

$97.86 is Medicare's 2026 national fee schedule rate for this service outside a hospital stay, including the patient's share and before the local wage adjustment. The median hospital cash price, $259.50 across 1,265 hospitals, is 2.7× that.

Other physical therapy prices

Median hospital cash price, one per hospital.