Physical Therapy Evaluation — Cost by Metro

Physical Therapy Evaluation: cost by metro

Other procedures · outpatient (same-day) · billed as CPT 97161 / 97162 / 97163 · priced across 25 metros

What does a Physical Therapy Evaluation cost? Across 25 major U.S. metros, the typical insurer-negotiated price for a PT Evaluation (CPT 97161 / 97162 / 97163) ranges from about $59 to $364 by metro, based on hospitals' own price-transparency files. Self-pay cash prices, where hospitals publish them, are often lower. Pick your metro for the local range and a hospital-by-hospital breakdown. These are price references from public data — not a quote, a bill, or medical or financial advice.

PT Evaluation price by metro

The typical insurer-negotiated price for a PT Evaluation, by metro — lowest first. Open a metro for the full three-level breakdown and every hospital.

Metro	Typical negotiated	Range	Cash
Indianapolis, IN	$59	$50–$104	$135
Virginia Beach, VA	$104	$104	—
Tampa, FL	$105	$104–$154	—
Dallas, TX	$105	$100–$336	$264
Hartford, CT	$132	$104–$292	—
Houston, TX	$133	$101–$420	—
Detroit, MI	$135	$66–$194	$184
St. Louis, MO	$151	$128–$168	$278
Kansas City, MO	$154	$93–$415	—
Riverside, CA	$156	$103–$269	$316
Seattle, WA	$158	$113–$531	$147
Nashville, TN	$162	$97–$202	—
Austin, TX	$198	$105–$589	$118
Cleveland, OH	$215	$119–$254	$393
Phoenix, AZ	$220	$83–$434	$81
New York, NY	$231	$112–$321	$367
Chicago, IL	$236	$230–$260	$160
Philadelphia, PA	$238	$102–$562	$276
Birmingham, AL	$240	$135–$240	$101
Jacksonville, FL	$240	$240	$101
Milwaukee, WI	$241	$97–$378	$240
Pittsburgh, PA	$242	$191–$289	$364
San Antonio, TX	$253	$83–$361	—
Denver, CO	$316	$101–$381	$307
Memphis, TN	$364	$364	$115

Source: hospitals' own machine-readable Standard Charges files, published under the U.S. Hospital Price Transparency rule (45 CFR §180.50). Most recent hospital file in this dataset: July 2026. Prices are references, not quotes or bills, and never medical or financial advice — where a hospital reports no price, nothing is shown rather than a guess.

About PT Evaluation pricing

A PT Evaluation is billed as CPT 97161 / 97162 / 97163 and is usually a outpatient (same-day) service. Prices vary widely by metro and by hospital, which is why every figure here is tied to a specific hospital's own published file. 18 of these 25 metros have at least one hospital publishing a self-pay cash price.

The chargemaster (list) price is the hospital's undiscounted sticker rate. Almost no one actually pays it — insurers negotiate it down and self-pay patients are usually offered the cash price — but it shows how large the discount off list can be.