Doctor visits and therapy CPT 97163 Pennsylvania Outpatient

PT evaluation, high complexity cost in Pennsylvania

In Pennsylvania, 61 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $94.49 to $1,280.12, with a median of $340.00. The lowest price is at Advanced Surgical Hospital (Washington). The highest price is 13.5× the lowest.

  • The median here, $340.00, is 32% above the US median of $257.45.
  • That is 3.5× Medicare's 2026 national rate for the same service ($97.86).
  • Pennsylvania ranks 40th of 50 states by median, cheapest first.
  • 10 of 61 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$94.49Advanced Surgical Hospital
Median$340.00half of hospitals charge less
Highest$1,280.12in Pennsylvania
Lowest saves$245.51vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash priceList priceFile date
Advanced Surgical Hospital lowest Washington · Pittsburgh, PA PT PT INITIAL EVAL-HIGH COMPLEXITY $94.49 $325.00 Apr 24, 2026
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Lower Bucks Hospital Bristol · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Phys Thrp Eval, High Complexity, 45 Min $100.00 $650.00 Sep 1, 2026
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Roxborough Memorial Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Phys Thrp Eval, High Complexity, 45 Min $100.00 $574.75 Sep 1, 2026
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Penn State Health Holy Spirit Medical Center Camp Hill · Harrisburg-Carlisle, PA 97163 Pt Initial Evaluation High Tech $145.73 $610.00 Mar 27, 2026
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St Joseph Regional Health Network Reading · Reading, PA WOCN Evaluation - Pt High $158.66 $610.00 Mar 27, 2026
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Warren General Hospital Warren · Warren, PA PT EVAL HIGH-COMPLEXITY $161.00 $161.00 Sep 24, 2026
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UPMC Kane Kane · Bradford, PA PT EVAL & TREAT HIGH 45 MIN $174.00 $290.00 Jul 16, 2026
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Penn State Health Lancaster Medical Center Lancaster · Lancaster, PA 97163 TELEMED PT EVAL HIGH COMPLEX 45 MIN Tech $176.84 $610.00 Mar 27, 2026
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Holy Redeemer Hospital and Medical Center Meadowbrook · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD PT Eval High Complex 45min - RDC $186.83 $311.37 Sep 21, 2026
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Penn State Health Hampden Medical Center Enola · Harrisburg-Carlisle, PA 97163 TELEMED PT EVAL HIGH COMPLEX 45 MIN Tech $191.97 $610.00 Mar 27, 2026
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Bryn Mawr Rehabilitation Hospital Malvern · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Pt Eval High Comp 45Min $201.20 $503.00 Apr 1, 2026
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Lankenau Medical Center Wynnewood · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Pt Eval High Comp 45Min $201.20 $503.00 Apr 1, 2026
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Paoli Hospital Paoli · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Pt Eval High Comp 45Min $201.20 $503.00 Apr 1, 2026
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Riddle Memorial Hospital Media · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Pt Eval High Comp 45Min $201.20 $503.00 Apr 1, 2026
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The Bryn Mawr Hospital Bryn Mawr · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Pt Eval High Comp 45Min $201.20 $503.00 Apr 1, 2026
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Penn State Health Milton S. Hershey Medical Center Hershey · Harrisburg-Carlisle, PA 97163 PT Initial Evaluation High -> Yes $202.09 $610.00 Mar 27, 2026
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Conemaugh Memorial Medical Center Johnstown · Johnstown, PA 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 $231.60 $579.00 Apr 15, 2026
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Troy Community Hospital Troy · Sayre, PA Pt Eval High Complex 45 Min $279.80 $349.75 Mar 31, 2026
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Titusville Area Hospital Titusville · Oil City, PA PT EVAL HIGH COMPLEX 45 MIN $281.40 $469.00 Sep 11, 2026
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UPMC Cole Coudersport · Coudersport, PA SME PT EVAL HIGH COMPLEXITY $281.40 $469.00 Mar 6, 2026
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Robert Packer Hospital Sayre · Sayre, PA Pt Eval High Complex 45 Min $294.58 $368.23 Mar 31, 2026
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Meadville Medical Center Meadville · Meadville, PA PT EVAL HIGH COMPLEX 45 MIN $298.20 $497.00 Sep 11, 2026
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Sharon Regional Medical Center Sharon · Hermitage, PA PT EVAL HIGH COMPLEX 45 MIN $303.24 $303.24 Jul 4, 2024
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Uniontown Hospital Uniontown · Pittsburgh, PA PT EVAL HIGH COMPLEX 45 MIN $305.00 $610.00 Jul 9, 2026
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Evangelical Community Hospital Lewisburg · Lewisburg, PA Evaluation for Physical Therapy, Typically 45 Minutes $322.40 $403.00 Jan 1, 2026
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Butler Memorial Hospital Butler · Pittsburgh, PA PT Eval High Complexity $329.00 $470.00 Jan 1, 2026
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Gettysburg Hospital Gettysburg · Gettysburg, PA Evaluation for Physical Therapy, Typically 45 Minutes $333.60 $417.00 Jan 1, 2026
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WellSpan Surgery and Rehabilitation Hospital York · York-Hanover, PA Evaluation for Physical Therapy, Typically 45 Minutes $333.60 $417.00 Jan 1, 2026
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York Hospital York · York-Hanover, PA Evaluation for Physical Therapy, Typically 45 Minutes $333.60 $417.00 Jan 1, 2026
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Chambersburg Hospital Chambersburg · Chambersburg, PA Evaluation for Physical Therapy, Typically 45 Minutes $340.00 $425.00 Jan 1, 2026
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Waynesboro Hospital Waynesboro · Chambersburg, PA Evaluation for Physical Therapy, Typically 45 Minutes $340.00 $425.00 Jan 1, 2026
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UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC CQ PT EVAL HIGH COMPLEX $345.00 $575.00 Mar 7, 2026
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Mercy Fitzgerald Hospital Darby · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity Patient/Family $365.30 $562.00 Mar 31, 2026
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Nazareth Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity Patient/Family $365.30 $562.00 Mar 31, 2026
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St Mary Medical Center Langhorne · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Pt Evaluation High Complexity Patient/Family $375.70 $578.00 Mar 31, 2026
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UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC CQ PT EVAL HIGH COMPLEX $405.00 $675.00 Mar 6, 2026
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PAM Health Rehabilitation Hospital of Hampden Enola · Harrisburg-Carlisle, PA PT Eval- High Complexity $486.05 $486.05 Aug 6, 2026
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Pt Eval High Complex 45 Min $497.00 $621.25 Mar 31, 2026
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Good Samaritan Hospital Lebanon · Lebanon, PA Evaluation for Physical Therapy, Typically 45 Minutes $518.40 $648.00 Jan 1, 2026
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Ephrata Community Hospital Ephrata · Lancaster, PA Evaluation for Physical Therapy, Typically 45 Minutes $534.40 $668.00 Jan 1, 2026
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Penn Highlands Brookville Brookville · Brookville, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Penn Highlands Clearfield Clearfield · DuBois, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Penn Highlands Dubois DuBois · DuBois, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Penn Highlands Elk Saint Marys · St. Marys, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Penn Highlands Huntingdon Huntingdon · Huntingdon, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Penn Highlands Tyrone Tyrone · Altoona, PA PT GE EVAL HIGH COMPLEX 45 MINS $567.00 $567.00 Apr 1, 2026
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Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg · Pottsville, PA HB PT EVAL HIGH COMPLEX 45 MIN $585.00 $650.00 Feb 26, 2026
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St Luke's Hospital - Miners Campus Coaldale · Pottsville, PA HB PT EVAL HIGH COMPLEX 45 MIN $585.00 $650.00 Feb 27, 2026
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St Luke's Hospital - Allentown Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 26, 2026
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St Luke's Hospital - Anderson Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 26, 2026
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St Luke's Hospital - Bethlehem Campus Bethlehem · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 26, 2026
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St Luke's Hospital - Carbon Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 27, 2026
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St Luke's Hospital - Easton Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 26, 2026
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St Luke's Hospital - Lehighton Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 27, 2026
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St Luke's Hospital - Monroe Campus Stroudsburg · East Stroudsburg, PA HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 27, 2026
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St Luke's Hospital - Sacred Heart Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB PT EVAL HIGH COMPLEX 45 MIN $594.28 $716.00 Feb 26, 2026
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Allegheny Valley Hospital Natrona Heights · Pittsburgh, PA HC PT EVAL HIGH COMPLEX 45 MIN $606.76 $788.00 Oct 28, 2026
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St Luke's Hospital - Grand View Campus Sellersville · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB PT EVAL HIGH COMPLEX 45 MIN $644.40 $716.00 Feb 26, 2026
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St Luke's Hospital - Upper Bucks Campus Quakertown · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB PT EVAL HIGH COMPLEX 45 MIN $644.40 $716.00 Feb 26, 2026
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Jefferson Regional Medical Center Jefferson Hills · Pittsburgh, PA HC PT EVAL HIGH COMPLEX 45 MIN $673.92 $832.00 Oct 28, 2026
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The Children's Hospital of Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Pt Evaluation, High Complexity $1,280.12 $1,280.12 Dec 31, 2025
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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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 14 $100.00 $201.20
Allentown-Bethlehem-Easton, PA-NJ 7 $594.28 $594.28
Pittsburgh, PA 7 $94.49 $345.00
Harrisburg-Carlisle, PA 4 $145.73 $197.03
Sayre, PA 3 $279.80 $294.58
Chambersburg, PA 2 $340.00 $340.00
DuBois, PA 2 $567.00 $567.00
Lancaster, PA 2 $176.84 $355.62
Pottsville, PA 2 $585.00 $585.00
York-Hanover, PA 2 $333.60 $333.60
Altoona, PA 1 $567.00 $567.00
Brookville, PA 1 $567.00 $567.00
Bradford, PA 1 $174.00 $174.00
Coudersport, PA 1 $281.40 $281.40
East Stroudsburg, PA 1 $594.28 $594.28
Gettysburg, PA 1 $333.60 $333.60
Hermitage, PA 1 $303.24 $303.24
Huntingdon, PA 1 $567.00 $567.00
Johnstown, PA 1 $231.60 $231.60
Lebanon, PA 1 $518.40 $518.40
Lewisburg, PA 1 $322.40 $322.40
Meadville, PA 1 $298.20 $298.20
Oil City, PA 1 $281.40 $281.40
Reading, PA 1 $158.66 $158.66
St. Marys, PA 1 $567.00 $567.00
Warren, PA 1 $161.00 $161.00
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.