Skip to main content

Physical Therapy Evaluation, Low Complexity

CPT 97161150 Texas hospitals reporting a negotiated rate

Initial physical therapy evaluation, low complexity. Frequently the entry point for outpatient PT after orthopedic surgery, falls, or chronic pain.

Typical insured price · Colorado

$99to$239

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medianshalf of reporting hospitals’ median rates fall in this window with a median of $123.

$99$239

Log scale · this page only

Cash price (median)

$124

What you'd pay self-pay

Gross charge (median)

$236

The chargemaster sticker

vs Medicare

Coming with enrichment

Sourced from 150 Colorado hospitals publishing under 45 CFR §180.50.

Choose your insurance carrier

Medicare Advantage? Find your plan under More carriers; your MA rate differs from these chips.

Straight Medicare or uninsured? Carrier rates don’t apply; see the cash and methodology notes.

More carriers and specialty networks

Most patients pick a Major carrier. The networks below are repricers, employer plans, and specialty payers; choose one only if it’s printed on your insurance card.

At a glance

Code
CPT 97161
Code system
CPT (Current Procedural Terminology)
Typical setting
an outpatient setting
Hospitals reporting
150

How they price Physical Therapy Evaluation, Low Complexity

Across 150 Texas hospitals that publish a commercial negotiated rate for CPT 97161, the typical insured price for Physical Therapy Evaluation, Low Complexity runs $99 to $239 (the 25th-to-75th percentile of per-hospital medians). The Texas median is $123 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $124, against a median gross charge of $236.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

  • Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
  • In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
  • Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
  • Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Every reporting hospital on one scale

Where to get it

Ranked by price: by your carrier’s rate once you pick one, otherwise by the median. The ruler plots each hospital’s price band and median on a shared scale; the colors compare each price to the Texas median.

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Pam Health Rehabilitation Hospital of El Paso

Gross charge $24

Metro
El Paso
Median negotiated
$18far below the state median
Your carrier's rate
25th–75th
$17 – $49
Cash
$24
Payers
13
Pam Health Rehabilitation Hospital of Houston Heights

Gross charge $48

Metro
Houston Metro
Median negotiated
$36far below the state median
Your carrier's rate
25th–75th
$36 – $36
Cash
$48
Payers
5
Hunt Regional Medical Center

Gross charge $176

Metro
Dallas–Fort Worth
Median negotiated
$68far below the state median
Your carrier's rate
25th–75th
$49 – $132
Cash
Payers
6
Goodall Witcher Healthcare

Gross charge $236

Metro
Rest of Texas
Median negotiated
$76below the state median
Your carrier's rate
25th–75th
$75 – $81
Cash
$165
Payers
4
Seymour Hospital

Gross charge $248

Metro
Rest of Texas
Median negotiated
$80below the state median
Your carrier's rate
25th–75th
$70 – $80
Cash
$174
Payers
7
Heart of Texas Memorial Hospital

Gross charge $433

Metro
Rest of Texas
Median negotiated
$85below the state median
Your carrier's rate
25th–75th
$60 – $85
Cash
$216
Payers
3
Pam Health Rehabilitation Hospital of Beaumont

Gross charge $120

Metro
Beaumont–Port Arthur
Median negotiated
$90below the state median
Your carrier's rate
25th–75th
$76 – $118
Cash
$120
Payers
20
Pam Health Rehabilitation Hospital of Clear Lake

Gross charge $195

Metro
Houston Metro
Median negotiated
$93below the state median
Your carrier's rate
25th–75th
$78 – $131
Cash
$195
Payers
20
Pam Health Rehabilitation Hospital of Kyle

Gross charge $120

Metro
Austin
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$73 – $110
Cash
$120
Payers
23
South Texas Spine Surgical Hospital

Gross charge $234

Metro
San Antonio
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$95 – $134
Cash
$234
Payers
5
Lubbock Heart Surgical Hospital

Gross charge $106

Metro
Lubbock
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$95 – $95
Cash
$106
Payers
7
Rio Grande State Center
Metro
Brownsville–Harlingen
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$87 – $101
Cash
Payers
16
Encompass Health Rehabilitation Hospital of Round Rock
Metro
Austin
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$86 – $118
Cash
Payers
15
Methodist Hospital Stone Oak Rehabilitation Center
Metro
San Antonio
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$89 – $118
Cash
Payers
12
Texas Surgical Hospital

Gross charge $234

Metro
Dallas–Fort Worth
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$95 – $134
Cash
$234
Payers
5
Pam Health Rehabilitation Hospital of Round Rock
Metro
Austin
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$86 – $118
Cash
Payers
15
Knapp Medical Center

Gross charge $487

Metro
McAllen–Edinburg–Mission
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$94 – $124
Cash
$95
Payers
21
Round Rock Medical Center
Metro
Austin
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$86 – $118
Cash
Payers
15
Methodist Stone Oak Hospital
Metro
San Antonio
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$89 – $118
Cash
Payers
12
Rio Grande Regional Hospital
Metro
McAllen–Edinburg–Mission
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$87 – $101
Cash
Payers
16
Cornerstone Specialty Hospitals Round Rock
Metro
Austin
Median negotiated
$95below the state median
Your carrier's rate
25th–75th
$86 – $118
Cash
Payers
15
Pam Health Warm Springs Rehabilitation Hospital Northeast San Antonio

Gross charge $190

Metro
San Antonio
Median negotiated
$96below the state median
Your carrier's rate
25th–75th
$90 – $124
Cash
$190
Payers
29
Pam Health Warm Springs Rehabilitation Hospital of San Antonio

Gross charge $190

Metro
San Antonio
Median negotiated
$96below the state median
Your carrier's rate
25th–75th
$90 – $124
Cash
$190
Payers
29
Harlingen Medical Center

Gross charge $487

Metro
Brownsville–Harlingen
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$95 – $134
Cash
$95
Payers
13
Vhs Harlingen Hospital Company Llc

Gross charge $487

Metro
Brownsville–Harlingen
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$95 – $134
Cash
$95
Payers
13
Columbus Community Hospital

Gross charge $226

Metro
Rest of Texas
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$97 – $97
Cash
$215
Payers
1
Ascension Seton Hays
Metro
Austin
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$95 – $180
Cash
Payers
13
Ascension Seton Medical Center Austin
Metro
Austin
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$95 – $180
Cash
Payers
12
Methodist Mansfield Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Richardson Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Charlton Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Hospital
Metro
San Antonio
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Richardson Medical Center Campus for Continuing Care
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Southlake Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Celina Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Methodist Midlothian Medical Center
Metro
Dallas–Fort Worth
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$89 – $172
Cash
Payers
13
Las Palmas Medical Center
Metro
El Paso
Median negotiated
$97below the state median
Your carrier's rate
25th–75th
$88 – $125
Cash
Payers
17
Ascension Seton Southwest Hospital
Metro
Austin
Median negotiated
$99below the state median
Your carrier's rate
25th–75th
$95 – $180
Cash
Payers
12
Hca Houston Healthcare Kingwood
Metro
Houston Metro
Median negotiated
$99below the state median
Your carrier's rate
25th–75th
$91 – $198
Cash
Payers
21
Hca Houston Healthcare Clear Lake
Metro
Houston Metro
Median negotiated
$99below the state median
Your carrier's rate
25th–75th
$91 – $198
Cash
Payers
21
Falls Community Hospital and Clinic

Gross charge $359

Metro
Waco
Median negotiated
$99below the state median
Your carrier's rate
25th–75th
$87 – $269
Cash
$287
Payers
6
Baylor Scott White Medical Center Marble Falls

Gross charge $359

Metro
Rest of Texas
Median negotiated
$99below the state median
Your carrier's rate
25th–75th
$87 – $269
Cash
$287
Payers
6
Post Acute Medical Specialty Hospital Corpus Ch

Gross charge $182

Metro
Corpus Christi
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$95 – $146
Cash
$182
Payers
20
Pam Rehabilitation Hospital of Corpus Christi

Gross charge $182

Metro
Corpus Christi
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$95 – $146
Cash
$182
Payers
20
Permian Regional Medical Center Andrews County Ho

Gross charge $133

Metro
Rest of Texas
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$90 – $106
Cash
$67
Payers
7
Coon Memorial Hospital

Gross charge $129

Metro
Rest of Texas
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$100 – $100
Cash
$129
Payers
1
Hca Houston Healthcare Medical Center
Metro
Houston Metro
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$91 – $279
Cash
Payers
14
Ascension Seton Northwest Hospital
Metro
Austin
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$95 – $180
Cash
Payers
12
Driscoll Children S Hospital Rio Grande Valley

Gross charge $379

Metro
McAllen–Edinburg–Mission
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$89 – $252
Cash
$379
Payers
28
Valley Regional Medical Center

Gross charge $379

Metro
Brownsville–Harlingen
Median negotiated
$100below the state median
Your carrier's rate
25th–75th
$89 – $252
Cash
$379
Payers
28
St David S Georgetown Hospital
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$92 – $142
Cash
Payers
16
St David S Medical Center
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$92 – $142
Cash
Payers
16
St David S Children S Hospital
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$92 – $142
Cash
Payers
16
St David S North Austin Medical Center
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$92 – $142
Cash
Payers
16
St David S Rehabilitation Hospital
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$92 – $142
Cash
Payers
16
North Austin Medical Center
Metro
Austin
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$91 – $134
Cash
Payers
17
The Nexus Dallas Children S Hospital

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Baylor Scott White Heart and Vascular Hospital Dallas

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Dallas Medical Center

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Advanced Dallas Hospital and Clinics

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Select Specialty Hospital Dallas Downtown

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Encompass Health Rehabilitation Hospital of Dallas

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Baylor Scott White Institute for Rehabilitation Dallas

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Perimeter Behavioral Hospital of Dallas

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Select Specialty Hospital Dallas Plano

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Kindred Hospital Dallas Central

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$101below the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
16
Pam Health Rehabilitation Hospital of Allen

Gross charge $120

Metro
Dallas–Fort Worth
Median negotiated
$104below the state median
Your carrier's rate
25th–75th
$90 – $199
Cash
$120
Payers
16
Post Acute Medical Specialty Hospital of Texarkana

Gross charge $120

Metro
Rest of Texas
Median negotiated
$108below the state median
Your carrier's rate
25th–75th
$90 – $193
Cash
$120
Payers
10
Medical City Denton Hospital
Metro
Dallas–Fort Worth
Median negotiated
$112below the state median
Your carrier's rate
25th–75th
$95 – $155
Cash
Payers
16
Pam Health Rehabilitation Hospital of Sugar Land

Gross charge $444

Metro
Houston Metro
Median negotiated
$115below the state median
Your carrier's rate
25th–75th
$95 – $333
Cash
$444
Payers
19
Pampa Regional Medical Center

Gross charge $425

Metro
Rest of Texas
Median negotiated
$117below the state median
Your carrier's rate
25th–75th
$95 – $177
Cash
$80
Payers
6
Mission Regional Medical Center

Gross charge $670

Metro
McAllen–Edinburg–Mission
Median negotiated
$119below the state median
Your carrier's rate
25th–75th
$95 – $143
Cash
$95
Payers
10
Limestone Medical Center

Gross charge $193

Metro
Rest of Texas
Median negotiated
$119below the state median
Your carrier's rate
25th–75th
$57 – $145
Cash
$116
Payers
6
Houston Physicians Hospital

Gross charge $425

Metro
Houston Metro
Median negotiated
$122below the state median
Your carrier's rate
25th–75th
$95 – $134
Cash
$425
Payers
8
Dallas Regional Medical Center

Gross charge $914

Metro
Dallas–Fort Worth
Median negotiated
$123about the state median
Your carrier's rate
25th–75th
$98 – $162
Cash
$98
Payers
12
Christus Mother Frances Hospital Sulphur Springs
Metro
Rest of Texas
Median negotiated
$123about the state median
Your carrier's rate
25th–75th
$122 – $135
Cash
Payers
1
Ascension Providence Hospital
Metro
Waco
Median negotiated
$133above the state median
Your carrier's rate
25th–75th
$97 – $162
Cash
Payers
5
Pam Health Specialty Hospital of San Antonio Medical Center

Gross charge $253

Metro
San Antonio
Median negotiated
$137above the state median
Your carrier's rate
25th–75th
$85 – $193
Cash
$253
Payers
10
Pam Specialty Hospital of San Antonio Medical Cen

Gross charge $253

Metro
San Antonio
Median negotiated
$137above the state median
Your carrier's rate
25th–75th
$85 – $193
Cash
$253
Payers
10
Pam Health Specialty Hospital of San Antonio

Gross charge $253

Metro
San Antonio
Median negotiated
$137above the state median
Your carrier's rate
25th–75th
$85 – $193
Cash
$253
Payers
10
Baylor Scott White Surgical Hospital at Sherman

Gross charge $290

Metro
Rest of Texas
Median negotiated
$145above the state median
Your carrier's rate
25th–75th
$145 – $145
Cash
$174
Payers
1
Pam Health Specialty and Rehabilitation Hospital of New Braunfels

Gross charge $283

Metro
San Antonio
Median negotiated
$153above the state median
Your carrier's rate
25th–75th
$92 – $212
Cash
$283
Payers
9
Warm Springs Specialty Hospital of New Braunfels

Gross charge $283

Metro
San Antonio
Median negotiated
$153above the state median
Your carrier's rate
25th–75th
$92 – $212
Cash
$283
Payers
9
New Braunfels Regional Rehabilitation Hospital

Gross charge $283

Metro
San Antonio
Median negotiated
$153above the state median
Your carrier's rate
25th–75th
$92 – $212
Cash
$283
Payers
9
Clay County Memorial Hospital

Gross charge $240

Metro
Rest of Texas
Median negotiated
$156above the state median
Your carrier's rate
25th–75th
$94 – $192
Cash
$240
Payers
8
Citizens Medical Center

Gross charge $407

Metro
Rest of Texas
Median negotiated
$157above the state median
Your carrier's rate
25th–75th
$157 – $157
Cash
$204
Payers
6
Nocona General Hospital

Gross charge $237

Metro
Rest of Texas
Median negotiated
$169above the state median
Your carrier's rate
25th–75th
$59 – $189
Cash
$28
Payers
6
Wilson N Jones Regional Medical Center

Gross charge $197

Metro
Rest of Texas
Median negotiated
$170above the state median
Your carrier's rate
25th–75th
$109 – $231
Cash
$59
Payers
4
Christus Saint Michael Rehabilitation Hospital
Metro
Rest of Texas
Median negotiated
$176above the state median
Your carrier's rate
25th–75th
$101 – $206
Cash
Payers
8
Texas Health Center for Diagnostics Surgery

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$177above the state median
Your carrier's rate
25th–75th
$111 – $241
Cash
$124
Payers
15
Christus Spohn Hospital Corpus Christi South
Metro
Corpus Christi
Median negotiated
$181above the state median
Your carrier's rate
25th–75th
$129 – $344
Cash
Payers
6
Texas Health Harris Methodist Hospital Stephenvill

Gross charge $207

Metro
Rest of Texas
Median negotiated
$182above the state median
Your carrier's rate
25th–75th
$116 – $241
Cash
$124
Payers
14
Christus Spohn Hospital Corpus Christi Shoreline
Metro
Corpus Christi
Median negotiated
$183above the state median
Your carrier's rate
25th–75th
$128 – $353
Cash
Payers
6
Rice Medical Center

Gross charge $242

Metro
Rest of Texas
Median negotiated
$194above the state median
Your carrier's rate
25th–75th
$145 – $206
Cash
$169
Payers
16
Pam Rehabilitation Hospital of Victoria

Gross charge $272

Metro
Rest of Texas
Median negotiated
$204above the state median
Your carrier's rate
25th–75th
$204 – $221
Cash
$272
Payers
8
Pam Health Specialty Hospital of Victoria North

Gross charge $284

Metro
Rest of Texas
Median negotiated
$207above the state median
Your carrier's rate
25th–75th
$113 – $213
Cash
$284
Payers
25
Christus Saint Michael Hospital Atlanta
Metro
Rest of Texas
Median negotiated
$216above the state median
Your carrier's rate
25th–75th
$172 – $400
Cash
Payers
9
Christus Saint Michael Hospital
Metro
Rest of Texas
Median negotiated
$216above the state median
Your carrier's rate
25th–75th
$172 – $400
Cash
Payers
9
Texas Health Azle

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$227above the state median
Your carrier's rate
25th–75th
$128 – $343
Cash
$124
Payers
14
Texas Health Arlington Memorial

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$227above the state median
Your carrier's rate
25th–75th
$112 – $328
Cash
$124
Payers
15
Texas Health Harris Methodist Hurst Euless Bedford

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$227above the state median
Your carrier's rate
25th–75th
$112 – $328
Cash
$124
Payers
15
Texas Health Heart Vascular Hospital Arlington

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$227above the state median
Your carrier's rate
25th–75th
$111 – $328
Cash
$124
Payers
14
Texas Health Kaufman

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$229above the state median
Your carrier's rate
25th–75th
$128 – $346
Cash
$124
Payers
15
Texas Health Cleburne

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$229above the state median
Your carrier's rate
25th–75th
$128 – $346
Cash
$124
Payers
14
Texas Health Harris Methodist Fort Worth

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$234above the state median
Your carrier's rate
25th–75th
$117 – $329
Cash
$124
Payers
14
Texas Health Specialty Hospital Fort Worth

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$234above the state median
Your carrier's rate
25th–75th
$178 – $361
Cash
$124
Payers
9
Texas Health Harris Methodist Hospital Southwest F

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$234above the state median
Your carrier's rate
25th–75th
$117 – $329
Cash
$124
Payers
14
Texas Health Denton

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $328
Cash
$124
Payers
14
Texas Health Presbyterian Hospital Allen

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $343
Cash
$124
Payers
15
Texas Health Plano

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $328
Cash
$124
Payers
15
Texas Health Frisco

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $328
Cash
$124
Payers
15
Texas Health Presbyterian Hospital Dallas

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $328
Cash
$124
Payers
15
Texas Health Alliance

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$117 – $328
Cash
$124
Payers
14
Texas Health Harris Methodist Hospital Southlake

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$126 – $328
Cash
$124
Payers
14
Texas Health Flower Mound

Gross charge $207

Metro
Dallas–Fort Worth
Median negotiated
$239above the state median
Your carrier's rate
25th–75th
$126 – $328
Cash
$124
Payers
14
Peterson Regional Medical Center

Gross charge $300

Metro
Rest of Texas
Median negotiated
$240above the state median
Your carrier's rate
25th–75th
$86 – $276
Cash
$210
Payers
4
William P Clements Jr University Hospital

Gross charge $428

Metro
Dallas–Fort Worth
Median negotiated
$241above the state median
Your carrier's rate
25th–75th
$138 – $330
Cash
$214
Payers
16
Children S Hospital of San Antonio
Metro
San Antonio
Median negotiated
$263more than twice the state median
Your carrier's rate
25th–75th
$244 – $281
Cash
Payers
2
Christus Spohn Hospital Beeville
Metro
Rest of Texas
Median negotiated
$268more than twice the state median
Your carrier's rate
25th–75th
$215 – $344
Cash
Payers
6
Christus Santa Rosa Hospital New Braunfels
Metro
San Antonio
Median negotiated
$273more than twice the state median
Your carrier's rate
25th–75th
$230 – $609
Cash
Payers
6
Christus Spohn Hospital Alice
Metro
Rest of Texas
Median negotiated
$277more than twice the state median
Your carrier's rate
25th–75th
$197 – $344
Cash
Payers
6
Christus Spohn Hospital Kleberg
Metro
Rest of Texas
Median negotiated
$279more than twice the state median
Your carrier's rate
25th–75th
$220 – $353
Cash
Payers
6
Freestone Medical Center

Gross charge $381

Metro
Rest of Texas
Median negotiated
$279more than twice the state median
Your carrier's rate
25th–75th
$177 – $333
Cash
$267
Payers
4
Christus Santa Rosa Hospital San Marcos
Metro
Austin
Median negotiated
$281more than twice the state median
Your carrier's rate
25th–75th
$225 – $332
Cash
Payers
5
Christus Santa Rosa Hospital Westover Hills

Gross charge $250

Metro
San Antonio
Median negotiated
$286more than twice the state median
Your carrier's rate
25th–75th
$250 – $650
Cash
$83
Payers
6
Christus Santa Rosa Hospital Alamo Heights
Metro
San Antonio
Median negotiated
$286more than twice the state median
Your carrier's rate
25th–75th
$251 – $650
Cash
Payers
6
Ascension Seton Cedar Park Hospital
Metro
Austin
Median negotiated
$294more than twice the state median
Your carrier's rate
25th–75th
$180 – $365
Cash
Payers
3
Dell Children S Medical Center
Metro
Austin
Median negotiated
$294more than twice the state median
Your carrier's rate
25th–75th
$180 – $365
Cash
Payers
3
Ascension Seton Edgar B Davis
Metro
Austin
Median negotiated
$294more than twice the state median
Your carrier's rate
25th–75th
$180 – $365
Cash
Payers
3
Ascension Seton Highland Lakes
Metro
Rest of Texas
Median negotiated
$294more than twice the state median
Your carrier's rate
25th–75th
$180 – $365
Cash
Payers
3
Dell Seton Medical Center at the University of Texas
Metro
Austin
Median negotiated
$294more than twice the state median
Your carrier's rate
25th–75th
$180 – $365
Cash
Payers
3
River Crest Hospital

Gross charge $468

Metro
Rest of Texas
Median negotiated
$309more than twice the state median
Your carrier's rate
25th–75th
$211 – $351
Cash
$234
Payers
17
Shannon Medical Center

Gross charge $468

Metro
Rest of Texas
Median negotiated
$309more than twice the state median
Your carrier's rate
25th–75th
$211 – $351
Cash
$234
Payers
17
Hendrick Medical Center

Gross charge $748

Metro
Rest of Texas
Median negotiated
$329more than twice the state median
Your carrier's rate
25th–75th
$206 – $505
Cash
$748
Payers
10
Christus Southeast Texas Saint Elizabeth

Gross charge $371

Metro
Beaumont–Port Arthur
Median negotiated
$333more than twice the state median
Your carrier's rate
25th–75th
$238 – $386
Cash
$122
Payers
8
The Medical Center of Southeast Texas

Gross charge $371

Metro
Beaumont–Port Arthur
Median negotiated
$333more than twice the state median
Your carrier's rate
25th–75th
$238 – $386
Cash
$122
Payers
8
Christus Trinity Mother Frances Rehabilitation Hospital
Metro
Tyler
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Trinity Mother Frances Hospital South Tyler
Metro
Tyler
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Trinity Mother Frances Louis and Peaches Owen Heart Hospital
Metro
Tyler
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Trinity Mother Frances Hospital Winnsboro
Metro
Rest of Texas
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Mother Frances Hospital Tyler
Metro
Tyler
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Trinity Mother Frances Hospital Jacksonville
Metro
Rest of Texas
Median negotiated
$336more than twice the state median
Your carrier's rate
25th–75th
$235 – $370
Cash
Payers
3
Christus Good Shepherd Medical Center Marshall
Metro
Longview
Median negotiated
$347more than twice the state median
Your carrier's rate
25th–75th
$149 – $492
Cash
Payers
5
Christus Good Shepherd Medical Center Longview
Metro
Longview
Median negotiated
$347more than twice the state median
Your carrier's rate
25th–75th
$149 – $492
Cash
Payers
5
Children S Medical Center Dallas

Gross charge $489

Metro
Dallas–Fort Worth
Median negotiated
$347more than twice the state median
Your carrier's rate
25th–75th
$319 – $367
Cash
$367
Payers
24
Children S Medical Center Plano

Gross charge $489

Metro
Dallas–Fort Worth
Median negotiated
$347more than twice the state median
Your carrier's rate
25th–75th
$319 – $367
Cash
$367
Payers
24
Hendrick Medical Center Brownwood

Gross charge $649

Metro
Rest of Texas
Median negotiated
$519more than twice the state median
Your carrier's rate
25th–75th
$454 – $551
Cash
$649
Payers
6
Baylor Scott White Medical Center Trophy Club

Gross charge $192

Metro
Dallas–Fort Worth
Median negotiated
$7,584more than five times the state median
Your carrier's rate
25th–75th
$5,646 – $8,006
Cash
$115
Payers
1
North Central Surgical Center Hospital

Gross charge $186

Metro
Dallas–Fort Worth
Median negotiated
$7,584more than five times the state median
Your carrier's rate
25th–75th
$5,646 – $8,006
Cash
$112
Payers
1
Baylor Surgical Hospital at Las Colinas

Gross charge $205

Metro
Dallas–Fort Worth
Median negotiated
$7,584more than five times the state median
Your carrier's rate
25th–75th
$5,646 – $8,006
Cash
$123
Payers
1
United Regional Health Care System

Gross charge $198

Metro
Rest of Texas
Median negotiated
Your carrier's rate
25th–75th
Cash
$188
Payers

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Houston MetroDallas–Fort WorthSan AntonioAustinEl PasoMcAllen–Edinburg–MissionCorpus ChristiLubbockBeaumont–Port ArthurBrownsville–HarlingenWacoTylerLongviewRest of Texas

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS)

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Physical Therapy Evaluation, Low Complexity cost in Texas?

Across 150 Texas hospitals that publish a commercial negotiated rate, the median is $123. The middle half of hospitals fall between $99 and $239 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Texas hospitals publish negotiated rates for Physical Therapy Evaluation, Low Complexity under 239 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Physical Therapy Evaluation, Low Complexity if I don't have insurance?

The median discounted cash price across reporting Texas hospitals is $124. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS)

What does CPT 97161 mean?

CPT 97161 is the CPT (Current Procedural Terminology) code for Physical Therapy Evaluation, Low Complexity. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.