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

Physical therapy re-evaluation

CPT 97164the billing code this page is about

Follow-up assessment by a physical therapist to check progress and revise the plan of care; billed once per re-evaluation.

Hospitals typically charge $137 cash for this outpatient procedure — the median across 3,373 hospitals that filed a usable cash price; the average of the middle 60% is $143. Most fall between $82 and $232 (20th–80th percentile).

Hospitals
3,373
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 3,373 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
$63$91$137$208$321

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($63 vs $321).

How the prices are spread

$49 – $60: 138 hospitals$49$60 – $75: 244 hospitals$75 – $93: 343 hospitals$75$93 – $116: 400 hospitals$116 – $144: 526 hospitals$116$144 – $179: 454 hospitals$179 – $223: 360 hospitals$179$223 – $277: 252 hospitals$277 – $344: 231 hospitals$277$344 – $428: 97 hospitals$344median $137price bands are equal on a log scale
Hospitals per price band (3,045 of 3,373 — the bands cover the 5th to 95th percentile)
FromToHospitals
$49$60138
$60$75244
$75$93343
$93$116400
$116$144526
$144$179454
$179$223360
$223$277252
$277$344231
$344$42897

By state

The median cash price in each state, against the national median of $137.

Alaska: median $260 across 19 hospitalsAK$260Maine: median $100 across 28 hospitalsME$100Vermont: median $170 across 14 hospitalsVT$170New Hampshire: median $117 across 22 hospitalsNH$117Washington: median $131 across 70 hospitalsWA$131Idaho: median $169 across 23 hospitalsID$169Montana: median $123 across 34 hospitalsMT$123North Dakota: median $203 across 31 hospitalsND$203Minnesota: median $137 across 104 hospitalsMN$137Illinois: median $166 across 141 hospitalsIL$166Wisconsin: median $140 across 101 hospitalsWI$140Michigan: median $116 across 95 hospitalsMI$116New York: median $144 across 103 hospitalsNY$144Massachusetts: median $223 across 51 hospitalsMA$223Oregon: median $154 across 55 hospitalsOR$154Nevada: median $151 across 22 hospitalsNV$151Wyoming: median $139 across 15 hospitalsWY$139South Dakota: median $191 across 41 hospitalsSD$191Iowa: median $124 across 91 hospitalsIA$124Indiana: median $141 across 94 hospitalsIN$141Ohio: median $153 across 141 hospitalsOH$153Pennsylvania: median $139 across 127 hospitalsPA$139New Jersey: median $86 across 45 hospitalsNJ$86Connecticut: median $283 across 22 hospitalsCT$283Rhode Island: median $167 across 10 hospitalsRI$167California: median $188 across 190 hospitalsCA$188Utah: median $165 across 38 hospitalsUT$165Colorado: median $166 across 73 hospitalsCO$166Nebraska: median $118 across 78 hospitalsNE$118Missouri: median $110 across 82 hospitalsMO$110Kentucky: median $130 across 68 hospitalsKY$130West Virginia: median $115 across 42 hospitalsWV$115Virginia: median $143 across 73 hospitalsVA$143Maryland: median $141 across 41 hospitalsMD$141Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $88 across 54 hospitalsAZ$88New Mexico: median $130 across 28 hospitalsNM$130Kansas: median $106 across 94 hospitalsKS$106Arkansas: median $74 across 33 hospitalsAR$74Tennessee: median $60 across 76 hospitalsTN$60North Carolina: median $124 across 95 hospitalsNC$124South Carolina: median $175 across 52 hospitalsSC$175Oklahoma: median $68 across 68 hospitalsOK$68Louisiana: median $85 across 53 hospitalsLA$85Mississippi: median $76 across 57 hospitalsMS$76Alabama: median $78 across 43 hospitalsAL$78Georgia: median $131 across 108 hospitalsGA$131Hawaii: median $203 across 20 hospitalsHI$203Texas: median $129 across 236 hospitalsTX$129Florida: median $234 across 165 hospitalsFL$234
Cash price by state, most expensive first. National median $137. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT22$283+107%$167 – $307
Alaska AK19$260+90%$180 – $360
Florida FL165$234+71%$103 – $505
Massachusetts MA51$223+63%$159 – $304
North Dakota ND31$203+49%$172 – $276
Hawaii HI20$203+48%$157 – $277
South Dakota SD41$191+40%$176 – $242
California CA190$188+37%$103 – $330
South Carolina SC52$175+28%$99 – $279
Vermont VT14$170+24%$125 – $250
Idaho ID23$169+23%$136 – $213
Rhode Island RI10$167+22%$100 – $547
Illinois IL141$166+21%$91 – $248
Colorado CO73$166+21%$104 – $229
Utah UT38$165+21%$124 – $206
Oregon OR55$154+13%$123 – $256
Ohio OH141$153+12%$107 – $202
Nevada NV22$151+11%$110 – $244
New York NY103$144+5%$76 – $271
Virginia VA73$143+4%$85 – $256
Maryland MD41$141+3%$110 – $195
Indiana IN94$141+3%$76 – $174
Wisconsin WI101$140+2%$109 – $170
Pennsylvania PA127$139+2%$83 – $276
Wyoming WY15$139+1%$110 – $174
Minnesota MN104$1370%$100 – $176
Washington WA70$131−4%$80 – $190
Georgia GA108$131−5%$67 – $203
New Mexico NM28$130−5%$71 – $179
Kentucky KY68$130−5%$82 – $203
Texas TX236$129−6%$83 – $309
North Carolina NC95$124−9%$82 – $163
Iowa IA91$124−10%$90 – $164
Montana MT34$123−10%$96 – $160
Nebraska NE78$118−14%$82 – $145
New Hampshire NH22$117−15%$90 – $280
Michigan MI95$116−15%$88 – $152
West Virginia WV42$115−16%$75 – $176
Missouri MO82$110−20%$70 – $177
Kansas KS94$106−23%$77 – $163
Maine ME28$100−27%$65 – $198
Arizona AZ54$88−36%$54 – $549
New Jersey NJ45$86−37%$83 – $253
Louisiana LA53$85−38%$49 – $140
Alabama AL43$78−43%$47 – $195
Mississippi MS57$76−44%$52 – $115
Arkansas AR33$74−46%$61 – $97
Oklahoma OK68$68−50%$55 – $109
Tennessee TN76$60−57%$41 – $126
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 $137.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,340$133$78 – $250
Children’s70$241$158 – $345
Critical access953$136$92 – $192
Ownership
For-profit473$184$76 – $432
Government631$122$80 – $191
Non-profit2,259$139$84 – $225
System affiliation
Part of a system2,732$140$82 – $240
Independent641$128$81 – $210

Cash price vs list price

Median list price (chargemaster)$232
Median cash price$137
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

2,305 hospitals filed a usable inpatient cash price for this code. The median is $142 and the average of the middle 60% is $146; most fall between $84 and $227.

Cash price percentiles, inpatient, across 2,305 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
$62$96$142$205$307

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($62 vs $307).

Of the 2,446 hospitals that filed this code inpatient, 2,305 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 116 a list price only.

How complete is this

3,373 of the 3,956 hospitals with a price file in our corpus (85%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,571 hospitals that filed this code at all gave us
Usable cash price — counted3,373
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 — excluded150
Hospitals that filed this code3,571

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 Re-Eval Est Plan Care 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 re-evaluation (CPT 97164) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97164-physical-therapy-re-evaluation