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

Physical therapy evaluation, moderate complexity

CPT 97162the billing code this page is about

First visit with a physical therapist involving a more detailed history and examination and a plan of care for a problem with several contributing factors; billed once per evaluation.

Hospitals typically charge $226 cash for this outpatient procedure — the median across 3,463 hospitals that filed a usable cash price; the average of the middle 60% is $231. Most fall between $131 and $362 (20th–80th percentile).

Hospitals
3,463
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 3,463 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
$100$150$226$333$494

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($100 vs $494).

How the prices are spread

$79 – $99: 152 hospitals$79$99 – $122: 252 hospitals$122 – $152: 316 hospitals$122$152 – $188: 439 hospitals$188 – $234: 481 hospitals$188$234 – $290: 540 hospitals$290 – $359: 401 hospitals$290$359 – $446: 269 hospitals$446 – $553: 140 hospitals$446$553 – $686: 127 hospitals$553median $226price bands are equal on a log scale
Hospitals per price band (3,117 of 3,463 — the bands cover the 5th to 95th percentile)
FromToHospitals
$79$99152
$99$122252
$122$152316
$152$188439
$188$234481
$234$290540
$290$359401
$359$446269
$446$553140
$553$686127

By state

The median cash price in each state, against the national median of $226.

Alaska: median $356 across 19 hospitalsAK$356Maine: median $200 across 28 hospitalsME$200Vermont: median $275 across 14 hospitalsVT$275New Hampshire: median $206 across 24 hospitalsNH$206Washington: median $228 across 70 hospitalsWA$228Idaho: median $234 across 24 hospitalsID$234Montana: median $222 across 35 hospitalsMT$222North Dakota: median $307 across 31 hospitalsND$307Minnesota: median $216 across 108 hospitalsMN$216Illinois: median $278 across 145 hospitalsIL$278Wisconsin: median $240 across 102 hospitalsWI$240Michigan: median $212 across 97 hospitalsMI$212New York: median $256 across 116 hospitalsNY$256Massachusetts: median $344 across 54 hospitalsMA$344Oregon: median $248 across 55 hospitalsOR$248Nevada: median $235 across 22 hospitalsNV$235Wyoming: median $183 across 16 hospitalsWY$183South Dakota: median $282 across 45 hospitalsSD$282Iowa: median $197 across 93 hospitalsIA$197Indiana: median $187 across 97 hospitalsIN$187Ohio: median $264 across 142 hospitalsOH$264Pennsylvania: median $219 across 127 hospitalsPA$219New Jersey: median $126 across 45 hospitalsNJ$126Connecticut: median $392 across 23 hospitalsCT$392Rhode Island: median $256 across 10 hospitalsRI$256California: median $356 across 196 hospitalsCA$356Utah: median $266 across 42 hospitalsUT$266Colorado: median $252 across 73 hospitalsCO$252Nebraska: median $190 across 84 hospitalsNE$190Missouri: median $172 across 82 hospitalsMO$172Kentucky: median $224 across 67 hospitalsKY$224West Virginia: median $211 across 41 hospitalsWV$211Virginia: median $256 across 73 hospitalsVA$256Maryland: median $184 across 42 hospitalsMD$184Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $145 across 54 hospitalsAZ$145New Mexico: median $264 across 31 hospitalsNM$264Kansas: median $170 across 94 hospitalsKS$170Arkansas: median $127 across 36 hospitalsAR$127Tennessee: median $130 across 82 hospitalsTN$130North Carolina: median $214 across 96 hospitalsNC$214South Carolina: median $226 across 53 hospitalsSC$226Oklahoma: median $125 across 71 hospitalsOK$125Louisiana: median $130 across 56 hospitalsLA$130Mississippi: median $123 across 58 hospitalsMS$123Alabama: median $139 across 43 hospitalsAL$139Georgia: median $177 across 109 hospitalsGA$177Hawaii: median $292 across 20 hospitalsHI$292Texas: median $285 across 240 hospitalsTX$285Florida: median $391 across 171 hospitalsFL$391
Cash price by state, most expensive first. National median $226. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT23$392+74%$256 – $420
Florida FL171$391+73%$196 – $836
California CA196$356+58%$197 – $558
Alaska AK19$356+58%$226 – $544
Massachusetts MA54$344+52%$218 – $469
North Dakota ND31$307+36%$270 – $426
Hawaii HI20$292+29%$235 – $351
Texas TX240$285+26%$124 – $464
South Dakota SD45$282+25%$259 – $373
Illinois IL145$278+23%$134 – $406
Vermont VT14$275+22%$195 – $393
Utah UT42$266+18%$155 – $333
New Mexico NM31$264+17%$176 – $370
Ohio OH142$264+17%$172 – $391
New York NY116$256+14%$111 – $392
Rhode Island RI10$256+14%$106 – $558
Virginia VA73$256+14%$151 – $370
Colorado CO73$252+12%$169 – $341
Oregon OR55$248+10%$184 – $318
Wisconsin WI102$240+6%$188 – $295
Nevada NV22$235+4%$165 – $355
Idaho ID24$234+4%$173 – $274
Washington WA70$228+1%$166 – $311
South Carolina SC53$2260%$148 – $274
Kentucky KY67$224−1%$165 – $323
Montana MT35$222−2%$151 – $268
Pennsylvania PA127$219−3%$116 – $399
Minnesota MN108$216−4%$160 – $280
North Carolina NC96$214−5%$150 – $303
Michigan MI97$212−6%$133 – $290
West Virginia WV41$211−6%$150 – $282
New Hampshire NH24$206−8%$127 – $462
Maine ME28$200−11%$126 – $329
Iowa IA93$197−13%$143 – $257
Nebraska NE84$190−16%$140 – $241
Indiana IN97$187−17%$114 – $240
Maryland MD42$184−19%$150 – $258
Wyoming WY16$183−19%$155 – $269
Georgia GA109$177−22%$120 – $480
Missouri MO82$172−24%$100 – $236
Kansas KS94$170−25%$116 – $231
Arizona AZ54$145−36%$81 – $864
Alabama AL43$139−38%$100 – $370
Tennessee TN82$130−43%$78 – $209
Louisiana LA56$130−43%$77 – $245
Arkansas AR36$127−44%$92 – $166
New Jersey NJ45$126−44%$120 – $428
Oklahoma OK71$125−45%$98 – $198
Mississippi MS58$123−45%$84 – $202
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 $226.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,395$228$124 – $383
Children’s73$323$215 – $515
Critical access985$216$152 – $306
Ownership
For-profit491$285$135 – $753
Government652$203$131 – $300
Non-profit2,310$225$130 – $352
System affiliation
Part of a system2,799$230$131 – $370
Independent664$208$129 – $317

Cash price vs list price

Median list price (chargemaster)$371
Median cash price$226
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

2,357 hospitals filed a usable inpatient cash price for this code. The median is $233 and the average of the middle 60% is $237; most fall between $137 and $358.

Cash price percentiles, inpatient, across 2,357 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
$104$158$233$332$473

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($104 vs $473).

Of the 2,500 hospitals that filed this code inpatient, 2,357 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 117 a list price only.

How complete is this

3,463 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 3,664 hospitals that filed this code at all gave us
Usable cash price — counted3,463
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
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 — excluded153
Hospitals that filed this code3,664

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 Mod Complex 30 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, moderate complexity (CPT 97162) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97162-physical-therapy-evaluation-moderate-complexity