Doctor visits and therapy CPT 97163 Massachusetts Outpatient

PT evaluation, high complexity cost in Massachusetts

In Massachusetts, 16 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $142.73 to $767.00, with a median of $404.03. The lowest price is at Boston Medical Center Brighton (Boston). The highest price is 5.4× the lowest.

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 Sep 23, 2026.

Lowest$142.73Boston Medical Center Brighton
Median$404.03half pay less
Highest$767.00in Massachusetts
Lowest saves$261.30vs the median

Hospitals in Massachusetts, cheapest first

HospitalCash price List priceFile date
Boston Medical Center Brighton lowest Boston · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation High Complex 45 Mins $142.73 $317.17 —
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Boston Medical Center South Brockton · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation High Complex 45 Mins $163.21 $362.69 —
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Melrosewakefield Healthcare Melrose · Boston-Cambridge-Newton, MA-NH Hosp Physical Therapy Evaluation High Complex $192.50 $275.00 —
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Cambridge Health Alliance Cambridge · Boston-Cambridge-Newton, MA-NH HC Ot Eval, High Complexity $205.00 $205.00 —
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Boston Medical Center Boston · Boston-Cambridge-Newton, MA-NH HC Physical Therapy Evaluation High Complex 45 Mins $246.60 $548.00 —
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Holyoke Medical Center Holyoke · Springfield, MA PT Eval High Complex 60 min $328.00 $328.00 —
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The Mercy Hospital Springfield · Springfield, MA HC Pt Evaluation High Complexity Patient/Family $362.05 $557.00 Mar 31, 2026
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Tufts Medical Center Boston · Boston-Cambridge-Newton, MA-NH Hosp Physical Therapy Evaluation High Complex $378.70 $541.00 —
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Berkshire Medical Center Pittsfield · Pittsfield, MA PT Eval High Cmplxty 45m Lymph $429.35 $451.95 Mar 25, 2026
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Fairview Hospital Great Barrington · Pittsfield, MA PT Eval High Cmplxty - 45 Min $429.35 $451.95 Mar 25, 2026
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North Adams Regional Hospital North Adams · Pittsfield, MA PT Eval High Cmplxty - 45 Min $429.35 $451.95 Mar 25, 2026
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Lowell General Hospital Lowell · Boston-Cambridge-Newton, MA-NH Hosp Physical Therapy Evaluation High Complex $433.30 $619.00 —
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UMass Memorial Health - Harrington Hospital Southbridge · Worcester, MA HC Pt Evaluation High Complexity $498.00 $498.00 Apr 3, 2026
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Milford Regional Medical Center Milford · Worcester, MA High Compl Eval 120 Minutes $589.00 $589.00 —
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UMass Memorial Medical Center Worcester · Worcester, MA HC Pt Evaluation High Complexity $677.00 $677.00 Mar 26, 2026
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HealthAlliance - Clinton Hospital Leominster · Worcester, MA HC Pt Evaluation High Complexity $767.00 $767.00 Mar 26, 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
Boston-Cambridge-Newton, MA-NH 7 $142.73 $205.00
Worcester, MA 4 $498.00 $633.00
Pittsfield, MA 3 $429.35 $429.35
Springfield, MA 2 $328.00 $345.02

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.

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

Median cash price across the state's hospitals.