HRHospitalRates.comCompare prices

Procedure price report · Diagnostic physical, occupational, and speech therapy

Physical therapy evaluation, low complexity

CPT 97161the billing code this page is about

First visit with a physical therapist to review history, examine movement and set a plan of care, for a straightforward problem; billed once per evaluation.

Hospitals typically charge $200 cash for this outpatient procedure — the median across 3,462 hospitals that filed a usable cash price; the average of the middle 60% is $204. Most fall between $118 and $327 (20th–80th percentile).

Hospitals
3,462
States
50
Filings dated
Nov 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,462 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$90$130$200$293$444

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($90 vs $444).

How the prices are spread

$72 – $89: 147 hospitals$72$89 – $110: 263 hospitals$110 – $136: 360 hospitals$110$136 – $168: 388 hospitals$168 – $207: 496 hospitals$168$207 – $256: 530 hospitals$256 – $316: 361 hospitals$256$316 – $390: 275 hospitals$390 – $481: 172 hospitals$390$481 – $594: 124 hospitals$481median $200price bands are equal on a log scale
Hospitals per price band (3,116 of 3,462 — the bands cover the 5th to 95th percentile)
FromToHospitals
$72$89147
$89$110263
$110$136360
$136$168388
$168$207496
$207$256530
$256$316361
$316$390275
$390$481172
$481$594124

By state

The median cash price in each state, against the national median of $200.

Alaska: median $327 across 19 hospitalsAK$327Maine: median $165 across 28 hospitalsME$165Vermont: median $258 across 14 hospitalsVT$258New Hampshire: median $202 across 24 hospitalsNH$202Washington: median $216 across 71 hospitalsWA$216Idaho: median $213 across 24 hospitalsID$213Montana: median $184 across 34 hospitalsMT$184North Dakota: median $293 across 31 hospitalsND$293Minnesota: median $200 across 108 hospitalsMN$200Illinois: median $232 across 145 hospitalsIL$232Wisconsin: median $178 across 92 hospitalsWI$178Michigan: median $182 across 98 hospitalsMI$182New York: median $211 across 115 hospitalsNY$211Massachusetts: median $339 across 54 hospitalsMA$339Oregon: median $235 across 55 hospitalsOR$235Nevada: median $232 across 22 hospitalsNV$232Wyoming: median $174 across 16 hospitalsWY$174South Dakota: median $263 across 45 hospitalsSD$263Iowa: median $191 across 95 hospitalsIA$191Indiana: median $152 across 97 hospitalsIN$152Ohio: median $239 across 143 hospitalsOH$239Pennsylvania: median $227 across 127 hospitalsPA$227New Jersey: median $126 across 45 hospitalsNJ$126Connecticut: median $392 across 23 hospitalsCT$392Rhode Island: median $256 across 10 hospitalsRI$256California: median $254 across 195 hospitalsCA$254Utah: median $213 across 43 hospitalsUT$213Colorado: median $219 across 73 hospitalsCO$219Nebraska: median $163 across 85 hospitalsNE$163Missouri: median $153 across 82 hospitalsMO$153Kentucky: median $218 across 69 hospitalsKY$218West Virginia: median $204 across 42 hospitalsWV$204Virginia: median $216 across 73 hospitalsVA$216Maryland: median $184 across 42 hospitalsMD$184Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $137 across 55 hospitalsAZ$137New Mexico: median $239 across 31 hospitalsNM$239Kansas: median $154 across 95 hospitalsKS$154Arkansas: median $105 across 36 hospitalsAR$105Tennessee: median $123 across 82 hospitalsTN$123North Carolina: median $170 across 96 hospitalsNC$170South Carolina: median $196 across 52 hospitalsSC$196Oklahoma: median $105 across 71 hospitalsOK$105Louisiana: median $113 across 56 hospitalsLA$113Mississippi: median $115 across 57 hospitalsMS$115Alabama: median $145 across 43 hospitalsAL$145Georgia: median $175 across 109 hospitalsGA$175Hawaii: median $235 across 20 hospitalsHI$235Texas: median $215 across 242 hospitalsTX$215Florida: median $334 across 171 hospitalsFL$334
Cash price by state, most expensive first. National median $200. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT23$392+96%$230 – $413
Massachusetts MA54$339+69%$201 – $429
Florida FL171$334+67%$171 – $729
Alaska AK19$327+63%$221 – $495
North Dakota ND31$293+46%$253 – $410
South Dakota SD45$263+31%$206 – $317
Vermont VT14$258+29%$177 – $376
Rhode Island RI10$256+28%$106 – $518
California CA195$254+27%$147 – $489
New Mexico NM31$239+19%$159 – $315
Ohio OH143$239+19%$152 – $324
Oregon OR55$235+17%$144 – $318
Hawaii HI20$235+17%$211 – $292
Nevada NV22$232+16%$135 – $352
Illinois IL145$232+16%$120 – $361
Pennsylvania PA127$227+13%$121 – $382
Colorado CO73$219+9%$136 – $305
Kentucky KY69$218+9%$155 – $312
Washington WA71$216+8%$131 – $289
Virginia VA73$216+8%$138 – $335
Texas TX242$215+7%$124 – $379
Idaho ID24$213+6%$149 – $246
Utah UT43$213+6%$150 – $280
New York NY115$211+5%$110 – $367
West Virginia WV42$204+2%$120 – $280
New Hampshire NH24$202+1%$110 – $387
Minnesota MN108$2000%$146 – $253
South Carolina SC52$196−2%$111 – $274
Iowa IA95$191−5%$129 – $235
Montana MT34$184−8%$151 – $248
Maryland MD42$184−8%$147 – $258
Michigan MI98$182−9%$120 – $217
Wisconsin WI92$178−11%$137 – $247
Georgia GA109$175−13%$111 – $417
Wyoming WY16$174−13%$147 – $196
North Carolina NC96$170−15%$124 – $238
Maine ME28$165−18%$115 – $290
Nebraska NE85$163−18%$124 – $208
Kansas KS95$154−23%$94 – $193
Missouri MO82$153−24%$94 – $213
Indiana IN97$152−24%$97 – $218
Alabama AL43$145−28%$92 – $278
Arizona AZ55$137−31%$62 – $577
New Jersey NJ45$126−37%$120 – $342
Tennessee TN82$123−38%$74 – $209
Mississippi MS57$115−43%$81 – $190
Louisiana LA56$113−44%$69 – $209
Arkansas AR36$105−47%$65 – $145
Oklahoma OK71$105−47%$81 – $160
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $200.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,390$202$112 – $347
Children’s73$242$172 – $411
Critical access989$192$133 – $277
Ownership
For-profit494$247$124 – $667
Government654$179$115 – $274
Non-profit2,304$201$118 – $315
System affiliation
Part of a system2,797$205$120 – $336
Independent665$180$112 – $287

Cash price vs list price

Median list price (chargemaster)$327
Median cash price$200
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,350 hospitals filed a usable inpatient cash price for this code. The median is $205 and the average of the middle 60% is $207; most fall between $121 and $323.

Cash price percentiles, inpatient, across 2,350 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$90$134$205$293$417

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($90 vs $417).

Of the 2,495 hospitals that filed this code inpatient, 2,350 gave a usable cash price; 27 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 118 a list price only.

How complete is this

3,462 of the 3,956 hospitals with a price file in our corpus (88%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,666 hospitals that filed this code at all gave us
Usable cash price — counted3,462
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded154
Hospitals that filed this code3,666

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic physical, occupational, and speech therapy family.

Hospitals file this code under descriptions such as Physical Therapy Evaluation Low Complex 20 Mins.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Physical therapy evaluation, low complexity (CPT 97161) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97161-physical-therapy-evaluation-low-complexity