Doctor visits and therapy CPT 97163 Maine Outpatient

PT evaluation, high complexity cost in Maine

In Maine, 24 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $70.35 to $706.05, with a median of $277.83. The lowest price is at Northern Light Eastern Maine Medical Center (Bangor). The highest price is 10.0× the lowest.

  • The median here, $277.83, is 8% above the US median of $257.45.
  • That is 2.8× Medicare's 2026 national rate for the same service ($97.86).
  • Maine ranks 27th of 50 states by median, cheapest first.
  • 8 of 24 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 10, 2026. See them on a map

Lowest$70.35Northern Light Eastern Maine Medical Center
Median$277.83half of hospitals charge less
Highest$706.05in Maine
Lowest saves$207.48vs the median

Hospitals in Maine, cheapest first

HospitalCash priceList priceFile date
Northern Light Eastern Maine Medical Center lowest Bangor · Bangor, ME HC PHYS THR EVL HIGH CMPLX 45M $70.35 $335.00 Feb 3, 2026
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Northern Light AR Gould Hospital Presque Isle · Presque Isle, ME PT EVAL HIGH COMPLEXITY $72.03 $343.00 Mar 30, 2026
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Northern Light Maine Coast Hospital Ellsworth · Ellsworth, ME PT Evaluation Units, High Complexity $80.75 $323.00 Mar 30, 2026
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Central Maine Medical Center Lewiston · Lewiston-Auburn, ME HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN $94.00 $525.94 Jun 25, 2026
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Mount Desert Island Hospital Bar Harbor · Bar Harbor, ME PT High Complex Units $99.00 $110.00 Jul 8, 2026
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Northern Light Mercy Hospital Portland · Portland-South Portland, ME PT EVALUATION HIGH COMPLEXITY $131.82 $507.00 Apr 15, 2026
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Rumford Hospital Rumford · Rumford, ME HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN $152.00 $525.94 Apr 29, 2026
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Bridgton Hospital Bridgton · Portland-South Portland, ME HC PHYS THRP EVAL, HIGH COMPLEXITY, 45 MIN $163.00 $525.94 Apr 29, 2026
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Northern Light Sebasticook Valley Hospital Pittsfield · Pittsfield, ME PT EVALUATION, HIGH $166.94 $491.00 Mar 30, 2026
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Blue Hill Memorial Hospital Blue Hill · Blue Hill, ME PT RE-EVAL EST PLAN CARE $181.67 $491.00 Mar 30, 2026
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Northern Light CA Dean Hospital Greenville · Greenville, ME P.T. EVAL HIGH COMPLEXITY $245.50 $491.00 Mar 30, 2026
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Down East Community Hospital Machias · Machias, ME Pt High Complex Units $268.00 $357.00 —
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MaineHealth Mid Coast Hospital Brunswick · Portland-South Portland, ME HC PT EVAL HIGH COMPLEX $287.65 $287.65 Oct 30, 2026
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Millinocket Regional Hospital Millinocket · Bangor, ME EVALUATION PHYS THER HIGH COMP $321.30 $357.00 May 26, 2026
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Penobscot Valley Hospital Lincoln · Bangor, ME PT EVALUATION HIGH COMPLEXITY $325.98 $407.47 Apr 24, 2026
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MaineHealth Westbrook · Portland-South Portland, ME HC PT EVAL HIGH COMPLEX - ACADEMY $337.80 $337.80 Oct 30, 2026
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Calais Community Hospital Calais · Calais, ME Pt Evaluation, High Complexity $348.00 $464.00 —
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Houlton Regional Hospital Houlton · Houlton, ME PT EVAL HIGH COMPLEXITY $348.65 $367.00 Mar 25, 2026
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MaineHealth Waldo Hospital Belfast · Belfast, ME HC PT EVAL HIGH COMPLEX $407.20 $407.20 Oct 30, 2026
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MaineHealth Pen Bay Hospital Rockport · Rockport, ME HC PT EVAL HIGH COMPLEX $435.40 $435.40 Oct 30, 2026
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LincolnHealth Damariscotta · Damariscotta, ME HC PT EVAL HIGH COMPLEX $484.20 $484.20 Oct 30, 2026
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MaineHealth Stephens Hospital Norway · Norway, ME HC PT EVAL HIGH COMPLEX $499.90 $499.90 Oct 30, 2026
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MaineHealth Franklin Hospital Farmington · Farmington, ME HC PT EVAL HIGH COMPLEX $579.90 $579.90 Oct 30, 2026
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MaineHealth Maine Medical Center Biddeford Biddeford · Portland-South Portland, ME HC PT EVAL HIGH 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 $131.82 $287.65
Bangor, ME 3 $70.35 $321.30
Bar Harbor, ME 1 $99.00 $99.00
Belfast, ME 1 $407.20 $407.20
Blue Hill, ME 1 $181.67 $181.67
Calais, ME 1 $348.00 $348.00
Damariscotta, ME 1 $484.20 $484.20
Ellsworth, ME 1 $80.75 $80.75
Farmington, ME 1 $579.90 $579.90
Greenville, ME 1 $245.50 $245.50
Houlton, ME 1 $348.65 $348.65
Lewiston-Auburn, ME 1 $94.00 $94.00
Machias, ME 1 $268.00 $268.00
Norway, ME 1 $499.90 $499.90
Pittsfield, ME 1 $166.94 $166.94
Presque Isle, ME 1 $72.03 $72.03
Rockport, ME 1 $435.40 $435.40
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, 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.