Doctor visits and therapy CPT 97163 Wisconsin Outpatient

PT evaluation, high complexity cost in Wisconsin

In Wisconsin, 61 hospitals publish a cash price for physical therapy evaluation, high complexity (typically about 45 minutes): from $61.69 to $531.94, with a median of $315.46. The lowest price is at Mercyhealth Hospital & Trauma Center (Janesville). The highest price is 8.6× the lowest.

  • The median here, $315.46, is 22% above the US median of $258.08.
  • That is 3.2× Medicare's 2026 national rate for the same service ($97.86).
  • Wisconsin ranks 36th of 50 states by median, cheapest first.
  • 4 of 62 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 7, 2026. See them on a map

Lowest$61.69Mercyhealth Hospital & Trauma Center
Median$315.46half of hospitals charge less
Highest$531.94in Wisconsin
Lowest saves$253.77vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash priceList priceFile date
Mercyhealth Hospital & Trauma Center lowest Janesville · Janesville-Beloit, WI HC PBB PT EVAL HIGH COMPLEX 45 MIN $61.69 $82.25 Mar 1, 2026
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St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan · Sheboygan, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 Mar 24, 2026
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 Mar 24, 2026
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St Clare Memorial Hospital Oconto Falls · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 Mar 24, 2026
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St Marys Hospital Medical Center Green Bay · Green Bay, WI HC PT EVAL HIGH COMPLEXITY 15MIN $95.70 $145.00 Mar 24, 2026
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Amery Hospital East Amery · East Amery, WI Physical Therapy Evaulation $124.09 $238.00 Mar 31, 2026
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Ascension Columbia St. Mary's Hospital - Milwaukee Campus Milwaukee · Milwaukee-Waukesha, WI HC PT EVAL HIGH COMPLEX $191.33 $361.00 Jan 1, 2026
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Ascension Columbia St. Mary's Hospital - Ozaukee Campus Mequon · Milwaukee-Waukesha, WI HC PT EVAL HIGH COMPLEX $191.33 $361.00 Jan 1, 2026
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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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Beloit Memorial Hospital Beloit · Janesville-Beloit, WI PT Evaluation High Complexity $210.60 $702.00 Oct 12, 2026
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Ascension NE Wisconsin - Mercy Campus Oshkosh · Oshkosh-Neenah, WI HC PT EVAL HIGH COMPLEX $215.46 $378.00 Jan 1, 2026
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Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC PT EVAL HIGH COMPLEX $215.46 $378.00 Jan 1, 2026
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River Falls Area Hospital River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG PT EVAL HIGH COMPLEXITY XS $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 Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI Fac Physical Therapy Evaluation High Complex $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 Fac Physical Therapy Evaluation High Complex $274.30 $422.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI Fac Physical Therapy Evaluation High Complex $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 Fac Physical Therapy Evaluation High Complex $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 Fac Physical Therapy Evaluation High Complex $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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Burnett Medical Center Grantsburg · Grantsburg, WI Evaluation for physical therapy, typically 45 minutes $288.00 $360.00 Oct 2, 2026
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Grant Regional Health Center Lancaster · Platteville, WI Evaluation for physical therapy, typically 45 minutes $292.50 $450.00 Sep 18, 2026
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Tomah Memorial Hospital Tomah · Sparta, WI Evaluation for physical therapy, typically 45 minutes $313.81 $545.75 Oct 28, 2026
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Tamarack Health Hayward Medical Center Hayward · Hayward, WI Physical Therapy Evaluation High Complex $315.46 $332.06 Jan 26, 2026
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Ascension Calumet Hospital Chilton · Appleton, WI HC PT EVAL HIGH COMPLEX $323.19 $567.00 Jan 1, 2026
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Aurora BayCare Medical Center Green Bay · Green Bay, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Bay Area Marinette · Marinette, WI-MI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 6, 2026
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Aurora Medical Center Fond du Lac Fond Du Lac · Fond du Lac, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 5, 2026
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Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 6, 2026
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Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 4, 2026
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Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 5, 2026
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Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 5, 2026
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Aurora St Lukes Medical Center Milwaukee · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 5, 2026
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 5, 2026
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Aurora St. Luke's South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 6, 2026
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Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI PT EVAL HIGH COMPLEXITY $325.00 $650.00 Nov 6, 2026
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Tamarack Health Ashland Medical Center Ashland · Ashland, WI Physical Therapy Evaluation High Complex $327.52 $344.76 Jan 26, 2026
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Stoughton Hospital Stoughton · Madison, WI Evaluation for physical therapy, typically 45 minutes $328.90 $598.00 Jun 11, 2026
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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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Sauk Prairie Healthcare Prairie Du Sac · Baraboo, WI PT EVAL HIGH COMPLEXITY $342.97 $627.00 Jan 29, 2026
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Southwest Health Center Platteville · Platteville, WI HC PT EVAL HIGH COMPLEXITY $363.75 $485.00 Mar 27, 2026
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Mercyhealth Hospital & Medical Center - Walworth Lake Geneva · Whitewater-Elkhorn, WI HC PT EVAL HIGH COMPLEX $400.07 $533.43 Mar 1, 2026
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Black River Memorial Hospital Black River Falls · Black River Falls, WI PT Evaluation High Complexity Units $450.00 $500.00 Jan 8, 2026
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Crossing Rivers Health Medical Center Prairie Du Chien · Prairie Du Chien, WI Evaluation for physical therapy, typically 45 minutes $455.00 $455.00 Oct 22, 2026
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PAM Rehabilitation Hospital of Wausau Wausau · Wausau, WI PT Eval- High Complexity $471.20 $471.20 Aug 6, 2026
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Froedtert Pleasant Prairie Hospital Pleasant Prairie · Kenosha, WI Eval of Physical Therapy $494.47 $659.29 Jul 1, 2026
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Spooner Health System Spooner · Spooner, WI PHYSICAL THERAPY EVALUATION HIGH COMPLEX $504.00 $560.00 Jul 20, 2026
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Vernon Memorial Healthcare Viroqua · La Crosse-Onalaska, WI-MN HCHG VMH PT EVALUATION, HIGH COMPLEXITY $528.00 $528.00 Nov 21, 2025
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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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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
Milwaukee-Waukesha, WI 11 $191.33 $325.00
Green Bay, WI 4 $95.70 $95.70
Madison, WI 3 $274.30 $328.90
Appleton, WI 2 $215.46 $269.32
Janesville-Beloit, WI 2 $61.69 $136.14
Oshkosh-Neenah, WI 2 $215.46 $270.23
Platteville, WI 2 $292.50 $328.12
Racine-Mount Pleasant, WI 2 $325.00 $325.00
Sheboygan, WI 2 $95.70 $210.35
Stevens Point-Plover, WI 2 $274.30 $274.30
Wausau, WI 2 $274.30 $372.75
Whitewater-Elkhorn, WI 2 $325.00 $362.54
Antigo, WI 1 $274.30 $274.30
Ashland, WI 1 $327.52 $327.52
Black River Falls, WI 1 $450.00 $450.00
Baraboo, WI 1 $342.97 $342.97
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 $325.00 $325.00
Grantsburg, WI 1 $288.00 $288.00
Hayward, WI 1 $315.46 $315.46
Kenosha, WI 1 $494.47 $494.47
La Crosse-Onalaska, WI-MN 1 $528.00 $528.00
Medford, WI 1 $274.30 $274.30
Merrill, WI 1 $274.30 $274.30
Manitowoc, WI 1 $325.00 $325.00
Marinette, WI-MI 1 $325.00 $325.00
Minneapolis-St. Paul-Bloomington, MN-WI 1 $240.35 $240.35
Prairie Du Chien, WI 1 $455.00 $455.00
Rhinelander, WI 1 $274.30 $274.30
Spooner, WI 1 $504.00 $504.00
Sparta, WI 1 $313.81 $313.81
Tomahawk, WI 1 $274.30 $274.30
Woodruff, WI 1 $274.30 $274.30
Wisconsin Rapids-Marshfield, WI 1 $274.30 $274.30
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.