PT evaluation, high complexity cost in New Jersey
In New Jersey, 40 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $49.50 to $1,656.00, with a median of $126.19. The lowest price is at Virtua Memorial Hospital (Mount Holly) and 4 other hospitals. The highest price is 33.5× the lowest.
- The median here, $126.19, is 51% below the US median of $257.45.
- That is 1.3× Medicare's 2026 national rate for the same service ($97.86).
- New Jersey has the lowest median of 50 states with at least 5 hospitals pricing this code.
- 11 of 40 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.
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$49.50Virtua Memorial Hospital + 4 more
Median$126.19half of hospitals charge less
Highest$1,656.00in New Jersey
Lowest saves$76.69vs the median
Hospitals in New Jersey, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Virtua Memorial Hospital lowest Mount Holly · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity | $49.50 | $495.00 | Apr 1, 2026 source file |
| Virtua Our Lady of Lourdes lowest Camden · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity | $49.50 | $495.00 | Apr 1, 2026 source file |
| Virtua West Jersey Hospital - Marlton lowest Voorhees · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity | $49.50 | $495.00 | Apr 1, 2026 source file |
| Virtua West Jersey Hospital - Voorhees lowest Voorhees · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity | $49.50 | $495.00 | Jun 1, 2026 source file |
| Virtua Willingboro Hospital lowest Willinboro · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity | $49.50 | $495.00 | Apr 1, 2026 source file |
| Atlanticare Regional Medical Center - Mainland Division Pomona · Atlantic City-Hammonton, NJ PT EVAL-HIGH COMPLEXITY (45 MIN) | $91.65 | $611.00 | Mar 18, 2026 source file |
| Saint Marys Hospital Passaic · New York-Newark-Jersey City, NY-NJ Hc Phys Thrp Eval, High Complexity, 45 Min | $108.00 | $527.50 | Sep 1, 2026 source file |
| Hackensack Meridian Mountainside Medical Center Montclair · New York-Newark-Jersey City, NY-NJ Evaluation for physical therapy, typically 45 minutes | $109.96 | $541.80 | Feb 12, 2026 source file |
| CentraState Medical Center Freehold Township · New York-Newark-Jersey City, NY-NJ Eval Phys Therapy High Complex | $120.93 | $570.00 | Apr 1, 2026 source file |
| Chilton Medical Center Pompton Plains · New York-Newark-Jersey City, NY-NJ Eval Phys Therapy High Complex | $120.93 | $720.00 | Apr 1, 2026 source file |
| Hackettstown Medical Center Hackettstown · Allentown-Bethlehem-Easton, PA-NJ Eval Phys Therapy High Complex | $120.93 | $720.00 | Apr 1, 2026 source file |
| Morristown Medical Center Morristown · New York-Newark-Jersey City, NY-NJ Eval Phys Therapy High Complex | $120.93 | $1,304.00 | Apr 1, 2026 source file |
| Newton Medical Center Newton · New York-Newark-Jersey City, NY-NJ Eval Phys Therapy High Complex | $120.93 | $1,254.00 | Apr 1, 2026 source file |
| Overlook Medical Center Summit · New York-Newark-Jersey City, NY-NJ Eval Phys Therapy High Complex | $120.93 | $1,164.00 | Apr 1, 2026 source file |
| Bayshore Medical Center Holmdel · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Hackensack University Medical Center Hackensack · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $660.00 | Dec 31, 2025 source file |
| JFK University Medical Center Edison · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $660.00 | Dec 31, 2025 source file |
| Jersey Shore University Medical Center Neptune City · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $660.00 | Dec 31, 2025 source file |
| Ocean Medical Center Brick · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Old Bridge Medical Center Old Bridge · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Palisades Medical Center North Bergen · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Raritan Bay Medical Center Perth Amboy · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Riverview Medical Center Red Bank · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Southern Ocean Medical Center Manahawkin · New York-Newark-Jersey City, NY-NJ PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $126.19 | $611.00 | Dec 31, 2025 source file |
| Englewood Health Englewood · New York-Newark-Jersey City, NY-NJ Physical Therapy Evaluation High Complex 45 Mins | $203.30 | $2,033.00 | Feb 2, 2026 source file |
| Children's Specialized Hospital Mountainside · New York-Newark-Jersey City, NY-NJ HC Pt Physical Therapy Evaluation High Complex 45 Mins | $354.50 | $709.00 | Mar 4, 2026 source file |
| Hudson Regional Hospital Secaucus · New York-Newark-Jersey City, NY-NJ Evaluation for physical therapy, typically 45 minutes | $390.60 | $390.60 | Sep 23, 2026 source file |
| The Valley Hospital Paramus · New York-Newark-Jersey City, NY-NJ PT EVAL HIGH COMPLEX | $460.80 | $768.00 | May 6, 2026 source file |
| Inspira Health Center Bridgeton Bridgeton · Vineland, NJ PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Inspira Health Center Woodbury Woodbury · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Inspira Medical Center Elmer Elmer · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Inspira Medical Center Mannington Salem · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Inspira Medical Center Mullica Hill Mullica Hill · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Inspira Medical Center Vineland Vineland · Vineland, NJ PT EVAL HIGH COMPLEX 45 MIN | $513.34 | $513.34 | Mar 24, 2026 source file |
| Saint Peters University Hospital New Brunswick · New York-Newark-Jersey City, NY-NJ PEDS PT EVAL HIGH COMPLEX GP | $886.00 | $1,029.00 | Nov 19, 2025 source file |
| St Luke's Warren Hospital Phillipsburg · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN | $1,050.30 | $1,167.00 | Feb 27, 2026 source file |
| Capital Health Medical Center - Hopewell Pennington · Trenton-Princeton, NJ PT EVALUATION HC | $1,375.00 | $1,375.00 | Jun 24, 2026 source file |
| Capital Health Regional Medical Center Trenton · Trenton-Princeton, NJ PT EVALUATION HC | $1,375.00 | $1,375.00 | Jun 24, 2026 source file |
| Memorial Hospital for Cancer and Allied Diseases Middletown · New York-Newark-Jersey City, NY-NJ HC Pt Physical Therapy Evaluation High Complex 45 Mins | $1,656.00 | $1,656.00 | Dec 1, 2025 source file |
| Memorial Hospital for Cancer and Allied Diseases Basking Ridge · New York-Newark-Jersey City, NY-NJ HC Pt Physical Therapy Evaluation High Complex 45 Mins | $1,656.00 | $1,656.00 | Dec 1, 2025 source file |
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 area | Hospitals | Lowest | Median |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 24 | $108.00 | $126.19 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 9 | $49.50 | $49.50 |
| Allentown-Bethlehem-Easton, PA-NJ | 2 | $120.93 | $585.62 |
| Trenton-Princeton, NJ | 2 | $1,375.00 | $1,375.00 |
| Vineland, NJ | 2 | $513.34 | $513.34 |
| Atlantic City-Hammonton, NJ | 1 | $91.65 | $91.65 |
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
- Alabama$200.57
- Alaska$528.06
- Arizona$575.79
- Arkansas$142.40
- California$392.40
- Colorado$321.00
- Connecticut$412.56
- Delaware$313.95
- District of Columbia$462.63
- Florida$525.35
- Georgia$208.38
- Hawaii$350.70
- Idaho$231.38
- Illinois$342.25
- Indiana$233.85
- Iowa$212.40
- Kansas$209.16
- Kentucky$200.36
- Louisiana$127.35
- Maine$277.83
- Maryland$194.25
- Massachusetts$365.00
- Michigan$234.65
- Minnesota$200.27
- Mississippi$150.93
- Missouri$178.20
- Montana$200.58
- Nebraska$234.00
- Nevada$268.55
- New Hampshire$272.51
- New Mexico$372.04
- New York$264.00
- North Carolina$298.40
- North Dakota$312.00
- Ohio$301.16
- Oklahoma$163.08
- Oregon$300.30
- Pennsylvania$340.00
- Puerto Rico$110.00, 2 hospitals
- Rhode Island$139.65, 4 hospitals
- South Carolina$250.00
- South Dakota$297.00
- Tennessee$135.68
- Texas$288.90
- Utah$325.63
- Vermont$322.94
- Virginia$248.75
- Washington$276.65
- West Virginia$211.20
- Wisconsin$319.33
- Wyoming$283.20
Median cash price across the state's hospitals.