Doctor visits and therapy CPT 97163 Wisconsin Outpatient

PT evaluation, high complexity cost in Wisconsin

In Wisconsin, 46 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $95.70 to $531.94, with a median of $274.30. The lowest price is at St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis (Sheboygan) and 3 other hospitals. The highest price is 5.6× 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$95.70St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis + 3 more
Median$274.30half pay less
Highest$531.94in Wisconsin
Lowest saves$178.60vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash price List priceFile date
St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis lowest Sheboygan · Sheboygan, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis lowest Green Bay · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 —
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St Clare Memorial Hospital lowest Oconto Falls · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 —
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St Marys Hospital Medical Center lowest Green Bay · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 —
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Amery Hospital East Amery · East Amery, WI Physical Therapy Evaulation $124.09 $238.00 —
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Columbia St. Mary's Hospital Milwaukee Milwaukee · Milwaukee-Waukesha, WI HC PT EVAL HIGH COMPLEX $191.33 $361.00 —
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Columbia St. Mary's Hospital Ozaukee Mequon · Milwaukee-Waukesha, WI HC PT EVAL HIGH COMPLEX $191.33 $361.00 —
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Essentia Health St Marys Hospital-Superior Superior · Duluth, MN-WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX $200.27 $271.00 Jan 1, 2026
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Ascension NE Wisconsin Oshkosh · Oshkosh-Neenah, WI HC PT EVAL HIGH COMPLEX $215.46 $378.00 —
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Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC PT EVAL HIGH COMPLEX $215.46 $378.00 —
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Allina Health Systems River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG PT EVAL HIGH COMPLEXITY $240.35 $429.20 Jun 15, 2026
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AdventHealth Durand Durand · Durand, WI HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $272.32 $272.32 Apr 1, 2026
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Aspirus Divine Savior Hospital Portage · Madison, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Eagle River Hospital Eagle River · Eagle River, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Langlade Hospital Antigo · Antigo, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Merrill Hospital Merrill · Merrill, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Stanley Hospital Stanley · Eau Claire, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Wausau Hospital Wausau · Wausau, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $274.30 $422.00 Apr 1, 2026
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Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Howard Young Medical Center Woodruff · Woodruff, WI Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aurora BayCare Medical Center Green Bay · Green Bay, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Bay Area Marinette · Marinette, WI-MI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Fond du Lac Fond Du Lac · Fond du Lac, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Psychiatric Hospital Wauwatosa · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora St Lukes South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $310.00 $620.00 Nov 21, 2025
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Ascension Calumet Hospital Chilton · Appleton, WI HC PT EVAL HIGH COMPLEX $323.19 $567.00 —
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Children's Hospital of Wisconsin Milwaukee · Milwaukee-Waukesha, WI HBC PT EVALUATION HIGH COMPLEXITY $331.51 $602.75 Mar 23, 2026
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UnityPoint Health - Meriter Madison · Madison, WI HC PT EVAL HIGH COMPLEX $531.94 $664.92 Jan 28, 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
Milwaukee-Waukesha, WI 12 $191.33 $310.00
Green Bay, WI 4 $95.70 $95.70
Appleton, WI 2 $215.46 $269.32
Madison, WI 2 $274.30 $403.12
Oshkosh-Neenah, WI 2 $215.46 $262.73
Racine-Mount Pleasant, WI 2 $310.00 $310.00
Sheboygan, WI 2 $95.70 $202.85
Stevens Point-Plover, WI 2 $274.30 $274.30
Antigo, WI 1 $274.30 $274.30
Durand, WI 1 $272.32 $272.32
Duluth, MN-WI 1 $200.27 $200.27
Eagle River, WI 1 $274.30 $274.30
East Amery, WI 1 $124.09 $124.09
Eau Claire, WI 1 $274.30 $274.30
Fond du Lac, WI 1 $310.00 $310.00
Medford, WI 1 $274.30 $274.30
Merrill, WI 1 $274.30 $274.30
Manitowoc, WI 1 $310.00 $310.00
Marinette, WI-MI 1 $310.00 $310.00
Minneapolis-St. Paul-Bloomington, MN-WI 1 $240.35 $240.35
Rhinelander, WI 1 $274.30 $274.30
Tomahawk, WI 1 $274.30 $274.30
Woodruff, WI 1 $274.30 $274.30
Wausau, WI 1 $274.30 $274.30
Whitewater-Elkhorn, WI 1 $310.00 $310.00
Wisconsin Rapids-Marshfield, WI 1 $274.30 $274.30

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.