Physical Therapy Evaluation, Low Complexity
Initial physical therapy evaluation, low complexity. Frequently the entry point for outpatient PT after orthopedic surgery, falls, or chronic pain.
Typical insured price · Colorado
What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $123.
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.
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.
151 hospitals listed
Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.
| Compare | Hospital | Metro | Median · ledger Log scale · this page only | Your carrier's rate | Negotiated band | Cash | Payers |
|---|---|---|---|---|---|---|---|
| Pam Health Rehabilitation Hospital of El Paso Gross charge $24
| El Paso | $18far below the state median | — | $17 – $49 | $24 | 13 | |
| Pam Health Rehabilitation Hospital of Houston Heights Gross charge $48
| Houston Metro | $36far below the state median | — | $36 – $36 | $48 | 5 | |
| Hunt Regional Medical Center Gross charge $176
| Dallas–Fort Worth | $68far below the state median | — | $49 – $132 | — | 6 | |
| Goodall Witcher Healthcare Gross charge $236
| Rest of Texas | $76below the state median | — | $75 – $81 | $165 | 4 | |
| Seymour Hospital Gross charge $248
| Rest of Texas | $80below the state median | — | $70 – $80 | $174 | 7 | |
| Heart of Texas Memorial Hospital Gross charge $433
| Rest of Texas | $85below the state median | — | $60 – $85 | $216 | 3 | |
| Pam Health Rehabilitation Hospital of Beaumont Gross charge $120
| Beaumont–Port Arthur | $90below the state median | — | $76 – $118 | $120 | 20 | |
| Pam Health Rehabilitation Hospital of Clear Lake Gross charge $195
| Houston Metro | $93below the state median | — | $78 – $131 | $195 | 20 | |
| Pam Health Rehabilitation Hospital of Kyle Gross charge $120
| Austin | $95below the state median | — | $73 – $110 | $120 | 23 | |
| South Texas Spine Surgical Hospital Gross charge $234
| San Antonio | $95below the state median | — | $95 – $134 | $234 | 5 | |
| Lubbock Heart Surgical Hospital Gross charge $106
| Lubbock | $95below the state median | — | $95 – $95 | $106 | 7 | |
Rio Grande State Center
| Brownsville–Harlingen | $95below the state median | — | $87 – $101 | — | 16 | |
Encompass Health Rehabilitation Hospital of Round Rock
| Austin | $95below the state median | — | $86 – $118 | — | 15 | |
Methodist Hospital Stone Oak Rehabilitation Center
| San Antonio | $95below the state median | — | $89 – $118 | — | 12 | |
| Texas Surgical Hospital Gross charge $234
| Dallas–Fort Worth | $95below the state median | — | $95 – $134 | $234 | 5 | |
Pam Health Rehabilitation Hospital of Round Rock
| Austin | $95below the state median | — | $86 – $118 | — | 15 | |
| Knapp Medical Center Gross charge $487
| McAllen–Edinburg–Mission | $95below the state median | — | $94 – $124 | $95 | 21 | |
Round Rock Medical Center
| Austin | $95below the state median | — | $86 – $118 | — | 15 | |
Methodist Stone Oak Hospital
| San Antonio | $95below the state median | — | $89 – $118 | — | 12 | |
Rio Grande Regional Hospital
| McAllen–Edinburg–Mission | $95below the state median | — | $87 – $101 | — | 16 | |
Cornerstone Specialty Hospitals Round Rock
| Austin | $95below the state median | — | $86 – $118 | — | 15 | |
| Pam Health Warm Springs Rehabilitation Hospital Northeast San Antonio Gross charge $190
| San Antonio | $96below the state median | — | $90 – $124 | $190 | 29 | |
| Pam Health Warm Springs Rehabilitation Hospital of San Antonio Gross charge $190
| San Antonio | $96below the state median | — | $90 – $124 | $190 | 29 | |
| Harlingen Medical Center Gross charge $487
| Brownsville–Harlingen | $97below the state median | — | $95 – $134 | $95 | 13 | |
| Vhs Harlingen Hospital Company Llc Gross charge $487
| Brownsville–Harlingen | $97below the state median | — | $95 – $134 | $95 | 13 | |
| Columbus Community Hospital Gross charge $226
| Rest of Texas | $97below the state median | — | $97 – $97 | $215 | 1 | |
Ascension Seton Hays
| Austin | $97below the state median | — | $95 – $180 | — | 13 | |
Ascension Seton Medical Center Austin
| Austin | $97below the state median | — | $95 – $180 | — | 12 | |
Methodist Mansfield Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Richardson Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Charlton Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Hospital
| San Antonio | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Richardson Medical Center Campus for Continuing Care
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Southlake Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Celina Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Methodist Midlothian Medical Center
| Dallas–Fort Worth | $97below the state median | — | $89 – $172 | — | 13 | |
Las Palmas Medical Center
| El Paso | $97below the state median | — | $88 – $125 | — | 17 | |
Ascension Seton Southwest Hospital
| Austin | $99below the state median | — | $95 – $180 | — | 12 | |
Hca Houston Healthcare Kingwood
| Houston Metro | $99below the state median | — | $91 – $198 | — | 21 | |
Hca Houston Healthcare Clear Lake
| Houston Metro | $99below the state median | — | $91 – $198 | — | 21 | |
| Falls Community Hospital and Clinic Gross charge $359
| Waco | $99below the state median | — | $87 – $269 | $287 | 6 | |
| Baylor Scott White Medical Center Marble Falls Gross charge $359
| Rest of Texas | $99below the state median | — | $87 – $269 | $287 | 6 | |
| Post Acute Medical Specialty Hospital Corpus Ch Gross charge $182
| Corpus Christi | $100below the state median | — | $95 – $146 | $182 | 20 | |
| Pam Rehabilitation Hospital of Corpus Christi Gross charge $182
| Corpus Christi | $100below the state median | — | $95 – $146 | $182 | 20 | |
| Permian Regional Medical Center Andrews County Ho Gross charge $133
| Rest of Texas | $100below the state median | — | $90 – $106 | $67 | 7 | |
| Coon Memorial Hospital Gross charge $129
| Rest of Texas | $100below the state median | — | $100 – $100 | $129 | 1 | |
Hca Houston Healthcare Medical Center
| Houston Metro | $100below the state median | — | $91 – $279 | — | 14 | |
Ascension Seton Northwest Hospital
| Austin | $100below the state median | — | $95 – $180 | — | 12 | |
| Driscoll Children S Hospital Rio Grande Valley Gross charge $379
| McAllen–Edinburg–Mission | $100below the state median | — | $89 – $252 | $379 | 28 | |
| Valley Regional Medical Center Gross charge $379
| Brownsville–Harlingen | $100below the state median | — | $89 – $252 | $379 | 28 | |
St David S Georgetown Hospital
| Austin | $101below the state median | — | $92 – $142 | — | 16 | |
St David S Medical Center
| Austin | $101below the state median | — | $92 – $142 | — | 16 | |
St David S Children S Hospital
| Austin | $101below the state median | — | $92 – $142 | — | 16 | |
St David S North Austin Medical Center
| Austin | $101below the state median | — | $92 – $142 | — | 16 | |
St David S Rehabilitation Hospital
| Austin | $101below the state median | — | $92 – $142 | — | 16 | |
North Austin Medical Center
| Austin | $101below the state median | — | $91 – $134 | — | 17 | |
| The Nexus Dallas Children S Hospital Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Baylor Scott White Heart and Vascular Hospital Dallas Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Dallas Medical Center Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Advanced Dallas Hospital and Clinics Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Select Specialty Hospital Dallas Downtown Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Encompass Health Rehabilitation Hospital of Dallas Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Baylor Scott White Institute for Rehabilitation Dallas Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Perimeter Behavioral Hospital of Dallas Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Select Specialty Hospital Dallas Plano Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Kindred Hospital Dallas Central Gross charge $914
| Dallas–Fort Worth | $101below the state median | — | $98 – $162 | $98 | 16 | |
| Pam Health Rehabilitation Hospital of Allen Gross charge $120
| Dallas–Fort Worth | $104below the state median | — | $90 – $199 | $120 | 16 | |
| Post Acute Medical Specialty Hospital of Texarkana Gross charge $120
| Rest of Texas | $108below the state median | — | $90 – $193 | $120 | 10 | |
Medical City Denton Hospital
| Dallas–Fort Worth | $112below the state median | — | $95 – $155 | — | 16 | |
| Pam Health Rehabilitation Hospital of Sugar Land Gross charge $444
| Houston Metro | $115below the state median | — | $95 – $333 | $444 | 19 | |
| Pampa Regional Medical Center Gross charge $425
| Rest of Texas | $117below the state median | — | $95 – $177 | $80 | 6 | |
| Mission Regional Medical Center Gross charge $670
| McAllen–Edinburg–Mission | $119below the state median | — | $95 – $143 | $95 | 10 | |
| Limestone Medical Center Gross charge $193
| Rest of Texas | $119below the state median | — | $57 – $145 | $116 | 6 | |
| Houston Physicians Hospital Gross charge $425
| Houston Metro | $122below the state median | — | $95 – $134 | $425 | 8 | |
| Dallas Regional Medical Center Gross charge $914
| Dallas–Fort Worth | $123about the state median | — | $98 – $162 | $98 | 12 | |
Christus Mother Frances Hospital Sulphur Springs
| Rest of Texas | $123about the state median | — | $122 – $135 | — | 1 | |
Ascension Providence Hospital
| Waco | $133above the state median | — | $97 – $162 | — | 5 | |
| Pam Health Specialty Hospital of San Antonio Medical Center Gross charge $253
| San Antonio | $137above the state median | — | $85 – $193 | $253 | 10 | |
| Pam Specialty Hospital of San Antonio Medical Cen Gross charge $253
| San Antonio | $137above the state median | — | $85 – $193 | $253 | 10 | |
| Pam Health Specialty Hospital of San Antonio Gross charge $253
| San Antonio | $137above the state median | — | $85 – $193 | $253 | 10 | |
| Baylor Scott White Surgical Hospital at Sherman Gross charge $290
| Rest of Texas | $145above the state median | — | $145 – $145 | $174 | 1 | |
| Pam Health Specialty and Rehabilitation Hospital of New Braunfels Gross charge $283
| San Antonio | $153above the state median | — | $92 – $212 | $283 | 9 | |
| Warm Springs Specialty Hospital of New Braunfels Gross charge $283
| San Antonio | $153above the state median | — | $92 – $212 | $283 | 9 | |
| New Braunfels Regional Rehabilitation Hospital Gross charge $283
| San Antonio | $153above the state median | — | $92 – $212 | $283 | 9 | |
| Clay County Memorial Hospital Gross charge $240
| Rest of Texas | $156above the state median | — | $94 – $192 | $240 | 8 | |
| Citizens Medical Center Gross charge $407
| Rest of Texas | $157above the state median | — | $157 – $157 | $204 | 6 | |
| Nocona General Hospital Gross charge $237
| Rest of Texas | $169above the state median | — | $59 – $189 | $28 | 6 | |
| Wilson N Jones Regional Medical Center Gross charge $197
| Rest of Texas | $170above the state median | — | $109 – $231 | $59 | 4 | |
Christus Saint Michael Rehabilitation Hospital
| Rest of Texas | $176above the state median | — | $101 – $206 | — | 8 | |
| Texas Health Center for Diagnostics Surgery Gross charge $207
| Dallas–Fort Worth | $177above the state median | — | $111 – $241 | $124 | 15 | |
Christus Spohn Hospital Corpus Christi South
| Corpus Christi | $181above the state median | — | $129 – $344 | — | 6 | |
| Texas Health Harris Methodist Hospital Stephenvill Gross charge $207
| Rest of Texas | $182above the state median | — | $116 – $241 | $124 | 14 | |
Christus Spohn Hospital Corpus Christi Shoreline
| Corpus Christi | $183above the state median | — | $128 – $353 | — | 6 | |
| Rice Medical Center Gross charge $242
| Rest of Texas | $194above the state median | — | $145 – $206 | $169 | 16 | |
| Pam Rehabilitation Hospital of Victoria Gross charge $272
| Rest of Texas | $204above the state median | — | $204 – $221 | $272 | 8 | |
| Pam Health Specialty Hospital of Victoria North Gross charge $284
| Rest of Texas | $207above the state median | — | $113 – $213 | $284 | 25 | |
Christus Saint Michael Hospital Atlanta
| Rest of Texas | $216above the state median | — | $172 – $400 | — | 9 | |
Christus Saint Michael Hospital
| Rest of Texas | $216above the state median | — | $172 – $400 | — | 9 | |
| Texas Health Azle Gross charge $207
| Dallas–Fort Worth | $227above the state median | — | $128 – $343 | $124 | 14 | |
| Texas Health Arlington Memorial Gross charge $207
| Dallas–Fort Worth | $227above the state median | — | $112 – $328 | $124 | 15 | |
| Texas Health Harris Methodist Hurst Euless Bedford Gross charge $207
| Dallas–Fort Worth | $227above the state median | — | $112 – $328 | $124 | 15 | |
| Texas Health Heart Vascular Hospital Arlington Gross charge $207
| Dallas–Fort Worth | $227above the state median | — | $111 – $328 | $124 | 14 | |
| Texas Health Kaufman Gross charge $207
| Dallas–Fort Worth | $229above the state median | — | $128 – $346 | $124 | 15 | |
| Texas Health Cleburne Gross charge $207
| Dallas–Fort Worth | $229above the state median | — | $128 – $346 | $124 | 14 | |
| Texas Health Harris Methodist Fort Worth Gross charge $207
| Dallas–Fort Worth | $234above the state median | — | $117 – $329 | $124 | 14 | |
| Texas Health Specialty Hospital Fort Worth Gross charge $207
| Dallas–Fort Worth | $234above the state median | — | $178 – $361 | $124 | 9 | |
| Texas Health Harris Methodist Hospital Southwest F Gross charge $207
| Dallas–Fort Worth | $234above the state median | — | $117 – $329 | $124 | 14 | |
| Texas Health Denton Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $328 | $124 | 14 | |
| Texas Health Presbyterian Hospital Allen Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $343 | $124 | 15 | |
| Texas Health Plano Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $328 | $124 | 15 | |
| Texas Health Frisco Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $328 | $124 | 15 | |
| Texas Health Presbyterian Hospital Dallas Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $328 | $124 | 15 | |
| Texas Health Alliance Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $117 – $328 | $124 | 14 | |
| Texas Health Harris Methodist Hospital Southlake Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $126 – $328 | $124 | 14 | |
| Texas Health Flower Mound Gross charge $207
| Dallas–Fort Worth | $239above the state median | — | $126 – $328 | $124 | 14 | |
| Peterson Regional Medical Center Gross charge $300
| Rest of Texas | $240above the state median | — | $86 – $276 | $210 | 4 | |
| William P Clements Jr University Hospital Gross charge $428
| Dallas–Fort Worth | $241above the state median | — | $138 – $330 | $214 | 16 | |
Children S Hospital of San Antonio
| San Antonio | $263more than twice the state median | — | $244 – $281 | — | 2 | |
Christus Spohn Hospital Beeville
| Rest of Texas | $268more than twice the state median | — | $215 – $344 | — | 6 | |
Christus Santa Rosa Hospital New Braunfels
| San Antonio | $273more than twice the state median | — | $230 – $609 | — | 6 | |
Christus Spohn Hospital Alice
| Rest of Texas | $277more than twice the state median | — | $197 – $344 | — | 6 | |
Christus Spohn Hospital Kleberg
| Rest of Texas | $279more than twice the state median | — | $220 – $353 | — | 6 | |
| Freestone Medical Center Gross charge $381
| Rest of Texas | $279more than twice the state median | — | $177 – $333 | $267 | 4 | |
Christus Santa Rosa Hospital San Marcos
| Austin | $281more than twice the state median | — | $225 – $332 | — | 5 | |
| Christus Santa Rosa Hospital Westover Hills Gross charge $250
| San Antonio | $286more than twice the state median | — | $250 – $650 | $83 | 6 | |
Christus Santa Rosa Hospital Alamo Heights
| San Antonio | $286more than twice the state median | — | $251 – $650 | — | 6 | |
Ascension Seton Cedar Park Hospital
| Austin | $294more than twice the state median | — | $180 – $365 | — | 3 | |
Dell Children S Medical Center
| Austin | $294more than twice the state median | — | $180 – $365 | — | 3 | |
Ascension Seton Edgar B Davis
| Austin | $294more than twice the state median | — | $180 – $365 | — | 3 | |
Ascension Seton Highland Lakes
| Rest of Texas | $294more than twice the state median | — | $180 – $365 | — | 3 | |
Dell Seton Medical Center at the University of Texas
| Austin | $294more than twice the state median | — | $180 – $365 | — | 3 | |
| River Crest Hospital Gross charge $468
| Rest of Texas | $309more than twice the state median | — | $211 – $351 | $234 | 17 | |
| Shannon Medical Center Gross charge $468
| Rest of Texas | $309more than twice the state median | — | $211 – $351 | $234 | 17 | |
| Hendrick Medical Center Gross charge $748
| Rest of Texas | $329more than twice the state median | — | $206 – $505 | $748 | 10 | |
| Christus Southeast Texas Saint Elizabeth Gross charge $371
| Beaumont–Port Arthur | $333more than twice the state median | — | $238 – $386 | $122 | 8 | |
| The Medical Center of Southeast Texas Gross charge $371
| Beaumont–Port Arthur | $333more than twice the state median | — | $238 – $386 | $122 | 8 | |
Christus Trinity Mother Frances Rehabilitation Hospital
| Tyler | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Trinity Mother Frances Hospital South Tyler
| Tyler | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Trinity Mother Frances Louis and Peaches Owen Heart Hospital
| Tyler | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Trinity Mother Frances Hospital Winnsboro
| Rest of Texas | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Mother Frances Hospital Tyler
| Tyler | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Trinity Mother Frances Hospital Jacksonville
| Rest of Texas | $336more than twice the state median | — | $235 – $370 | — | 3 | |
Christus Good Shepherd Medical Center Marshall
| Longview | $347more than twice the state median | — | $149 – $492 | — | 5 | |
Christus Good Shepherd Medical Center Longview
| Longview | $347more than twice the state median | — | $149 – $492 | — | 5 | |
| Children S Medical Center Dallas Gross charge $489
| Dallas–Fort Worth | $347more than twice the state median | — | $319 – $367 | $367 | 24 | |
| Children S Medical Center Plano Gross charge $489
| Dallas–Fort Worth | $347more than twice the state median | — | $319 – $367 | $367 | 24 | |
| Hendrick Medical Center Brownwood Gross charge $649
| Rest of Texas | $519more than twice the state median | — | $454 – $551 | $649 | 6 | |
| Baylor Scott White Medical Center Trophy Club Gross charge $192
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | $115 | 1 | |
| North Central Surgical Center Hospital Gross charge $186
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | $112 | 1 | |
| Baylor Surgical Hospital at Las Colinas Gross charge $205
| Dallas–Fort Worth | $7,584more than five times the state median | — | $5,646 – $8,006 | $123 | 1 | |
| United Regional Health Care System Gross charge $198
| Rest of Texas | — | — | — | $188 | — |
0 of 3 hospitals selected
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.
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.
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.