Doctor visits and therapy CPT 97163 Kentucky Outpatient

PT evaluation, high complexity cost in Kentucky

In Kentucky, 51 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $80.28 to $889.03, with a median of $200.36. The lowest price is at Baptist Health Deaconess Madisonville (Madisonville). The highest price is 11.1× the lowest.

  • The median here, $200.36, is 22% below the US median of $257.45.
  • That is 2.0× Medicare's 2026 national rate for the same service ($97.86).
  • Kentucky ranks 10th of 50 states by median, cheapest first.
  • 3 of 51 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 97163. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map

Lowest$80.28Baptist Health Deaconess Madisonville
Median$200.36half of hospitals charge less
Highest$889.03in Kentucky
Lowest saves$120.08vs the median

Hospitals in Kentucky, cheapest first

HospitalCash priceList priceFile date
Baptist Health Deaconess Madisonville lowest Madisonville · Madisonville, KY HC PT EVALUATION 15 MIN II HIGH COMPLEX $80.28 $617.52 Feb 3, 2026
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Ohio County Hospital Hartford · Hartford, KY PF PT EVAL: HIGH COMPLEXITY $96.50 $193.00 Jan 12, 2026
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The Medical Center at Bowling Green Bowling Green · Bowling Green, KY TELEHEALTH EVAL HIGH $107.97 $208.00 Apr 1, 2026
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Norton Audubon Hospital Louisville · Louisville, KY HB PEDS PT EVAL HIGH - IP $124.80 $624.00 Feb 11, 2026
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Norton Brownsboro Hospital Louisville · Louisville/Jefferson County, KY-IN HB PEDS PT EVAL HIGH $124.80 $624.00 Feb 11, 2026
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Norton Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB PEDS PT EVAL HIGH $124.80 $624.00 Feb 11, 2026
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Norton Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEURO PT EVAL HIGH $124.80 $624.00 Feb 11, 2026
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Norton West Louisville Hospital Louisville · Louisville/Jefferson County, KY-IN HB PEDS PT EVAL HIGH $124.80 $624.00 Feb 11, 2026
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Norton Women's and Kosair Children's Hospital Louisville · Louisville/Jefferson County, KY-IN HB NEURO WHEELCHAIR/SEAT EVAL HIGH PT $124.80 $624.00 Feb 13, 2026
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The Medical Center at Russellville Russellville · Russellville, KY TELEHEALTH EVAL HIGH $124.80 $208.00 Apr 1, 2026
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Jennie Stuart Medical Center Hopkinsville · Clarksville, TN-KY HC PT EVALUATION 30 MIN HIGH COMPLEX $139.49 $449.95 Feb 12, 2026
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The Medical Center at Caverna Horse Cave · Horse Cave, KY TELEHEALTH EVAL HIGH $147.00 $245.00 Apr 1, 2026
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The Medical Center at Albany Albany · Albany, KY TELEHEALTH EVAL HIGH $148.20 $247.00 Jul 1, 2024
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The Medical Center at Scottsville Scottsville · Bowling Green, KY TELEHEALTH EVAL HIGH $148.20 $247.00 Apr 1, 2026
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Bourbon Community Hospital Paris · Lexington-Fayette, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $160.07 $400.18 Jul 11, 2026
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King's Daughters' Medical Center Ashland · Huntington-Ashland, WV-KY-OH HCHG PT EVAL; HIGH COMPLEXITY $163.54 $408.83 Sep 25, 2026
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Monroe County Medical Center Tompkinsville · Tompkinsville, KY Evaluation for physical therapy, typically 45 minutes $173.84 $209.45 Oct 8, 2026
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Casey County Hospital Liberty · Liberty, KY EVALUATION PT HIGH $174.40 $218.00 Mar 31, 2026
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Saint Joseph East Lexington · Lexington-Fayette, KY HC Pt Eval High Complexity $181.40 $432.00 Sep 30, 2026
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Fleming County Hospital Flemingsburg · Flemingsburg, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $181.94 $454.84 Jul 10, 2026
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CHI Saint Joseph Berea Nf Berea · Richmond-Berea, KY HC Pt Eval High Complexity $184.59 $381.00 Sep 30, 2026
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University of Kentucky Hospital Lexington · Lexington-Fayette, KY Hc Slp Speech Therapy Evaluation High Complex 45 Minutes $188.31 $470.77 Apr 1, 2026
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Deaconess Henderson Hospital Henderson · Henderson, KY HC PT EVALUATION 120 MIN HIGH COMPLX $189.60 $632.00 Feb 9, 2026
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Meadowview Regional Medical Center Maysville · Maysville, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $194.24 $485.60 Jul 10, 2026
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Saint Joseph Mount Sterling Mt. Sterling · Mount Sterling, KY HC Pt Eval High Complexity $195.65 $518.00 Sep 30, 2026
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Saint Joseph London London · Corbin, KY HC Pt Eval High Complexity $200.36 $571.00 Sep 30, 2026
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Bluegrass Community Hospital Versailles · Lexington-Fayette, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $204.46 $511.14 Jul 10, 2026
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Saint Joseph Hospital Lexington · Lexington-Fayette, KY HC Pt Eval High Complexity $205.16 $432.00 Sep 30, 2026
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St Claire Medical Center Morehead · Morehead, KY Evaluation for physical therapy, typically 45 minutes $216.75 $289.00 Jun 18, 2026
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Saint Joseph Hospital Nicholasville · Lexington-Fayette, KY HC Pt Eval High Complexity $219.92 $410.00 Sep 30, 2026
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Georgetown Community Hospital Georgetown · Lexington-Fayette, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $223.06 $557.65 Jul 10, 2026
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CHI Saint Joseph Flaget Memorial Hospital Bardstown · Louisville/Jefferson County, KY-IN HC Pt Eval High Complexity $240.96 $571.00 Sep 30, 2026
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T J Samson Community Hospital Glasgow · Glasgow, KY Evaluation for physical therapy, typically 45 minutes $269.10 $414.00 Oct 21, 2026
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Tj Health Columbia Columbia · Columbia, KY Evaluation for physical therapy, typically 45 minutes $269.10 $414.00 Sep 1, 2026
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Jackson Purchase Medical Center Mayfield · Mayfield, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $290.51 $726.28 Jul 10, 2026
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Marcum and Wallace Memorial Hospital Irvine · Richmond-Berea, KY HC Pt Eval High Complex $294.60 $491.00 Apr 1, 2026
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Livingston Hospital and Healthcare Services Salem · Paducah, KY-IL PT Evaluation Units, High Complexity $303.90 $506.50 Aug 25, 2026
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Mercy Health Lourdes Hospital Paducah · Paducah, KY-IL HC Pt Eval High Complex $322.80 $538.00 Apr 1, 2026
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Clark Regional Medical Center Winchester · Lexington-Fayette, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $333.37 $833.42 Jul 10, 2026
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AdventHealth Manchester Manchester · Corbin, KY HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $349.40 $349.40 Apr 1, 2026
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Murray-Calloway County Public Hospital Murray · Murray, KY Evaluation for physical therapy, typically 45 minutes $364.65 $561.00 Sep 9, 2026
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Spring View Hospital Lebanon · Lebanon, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from $380.32 $950.80 Jul 10, 2026
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Tristar Greenview Regional Hospital Bowling Green · Bowling Green, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination $394.64 $394.64 Sep 1, 2026
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Baptist Health Corbin Corbin · Corbin, KY Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 25, 2026
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Baptist Health Hardin Elizabethtown · Elizabethtown, KY Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 25, 2026
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Baptist Health LaGrange La Grange · Louisville/Jefferson County, KY-IN Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 25, 2026
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Baptist Health Lexington Lexington · Lexington-Fayette, KY Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 28, 2026
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Baptist Health Louisville Louisville · Louisville/Jefferson County, KY-IN Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 25, 2026
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Baptist Health Paducah Paducah · Paducah, KY-IL Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 28, 2026
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Baptist Health Richmond Richmond · Richmond-Berea, KY Evaluation for physical therapy, typically 45 minutes $458.90 $611.86 Sep 28, 2026
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Frankfort Regional Medical Center Frankfort · Frankfort, KY Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination $889.03 $889.03 Sep 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
Lexington-Fayette, KY 9 $160.07 $205.16
Louisville/Jefferson County, KY-IN 8 $124.80 $124.80
Bowling Green, KY 3 $107.97 $148.20
Corbin, KY 3 $200.36 $349.40
Paducah, KY-IL 3 $303.90 $322.80
Richmond-Berea, KY 3 $184.59 $294.60
Albany, KY 1 $148.20 $148.20
Columbia, KY 1 $269.10 $269.10
Clarksville, TN-KY 1 $139.49 $139.49
Elizabethtown, KY 1 $458.90 $458.90
Flemingsburg, KY 1 $181.94 $181.94
Frankfort, KY 1 $889.03 $889.03
Glasgow, KY 1 $269.10 $269.10
Hartford, KY 1 $96.50 $96.50
Horse Cave, KY 1 $147.00 $147.00
Henderson, KY 1 $189.60 $189.60
Huntington-Ashland, WV-KY-OH 1 $163.54 $163.54
Lebanon, KY 1 $380.32 $380.32
Liberty, KY 1 $174.40 $174.40
Louisville, KY 1 $124.80 $124.80
Maysville, KY 1 $194.24 $194.24
Morehead, KY 1 $216.75 $216.75
Madisonville, KY 1 $80.28 $80.28
Mayfield, KY 1 $290.51 $290.51
Mount Sterling, KY 1 $195.65 $195.65
Murray, KY 1 $364.65 $364.65
Russellville, KY 1 $124.80 $124.80
Tompkinsville, KY 1 $173.84 $173.84
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, high complexity is, what the price covers and why prices differ: PT evaluation, high complexity explained.

Physical therapy evaluation, high complexity (typically about 45 minutes) in other states

Median cash price across the state's hospitals.