What does code 97162 cost?

Across the published hospital price files, the disclosed cash price for 97162 ranges from $54.28 to $709. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

97162 is the billing code hospitals use to identify "Pt Eval Moderate Complexity (61-90 Minutes)" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

97162

CPTPhysical therapy →

Pt Eval Moderate Complexity (61-90 Minutes)

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 97162 (Pt Eval Moderate Complexity (61-90 Minutes)) appears at 50 hospitals with disclosed cash prices from $54.28 to $709. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

105

Cash

105

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 97162 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 97162 vary by about 13× across the 48 hospitals with disclosed prices here — from $54.28 to $709. Shopping around can matter.

Hospitals

110

Prices shown

$54.28

Lowest cash

$709

Highest cash

code 97162 cash price105 disclosed · 48 hospitals

$54.28median ~$240$709

Lowest cash price by hospital

The Women's Hospital$54.28
Advocate Illinois Masonic Medical Center$95.00
Advocate Condell Medical Center$95.00
Advocate Good Samaritan Hospital$95.00
Advocate South Suburban Hospital$95.00
Providence St Joseph Medical Center$123

Cash price by city

Reflects your current filters.

Cash price by city$54.28 – $434

Newburgh · 2 hospitals$54.28–$434
Chicago · 2 hospitals$95.00–$376
Libertyville · 1 hospital$95.00–$210
Downers Grove · 1 hospital$95.00–$210
Hazel Crest · 1 hospital$95.00–$210
Polson · 1 hospital$123

110 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Pt Eval Moderate Complexity (61-90 Minutes) Inpatient	Carle Foundation Hospital	97162 CPT	$333	$333	$33.30 – $220	—
HC PT EVAL MODERATE COMPLEXITY Inpatient & outpatient	Endeavor Health Edward Hospital	97162 HCPCS	$709	$709	—	—
Pt eval mod complex 30 min Outpatient	Endeavor Health Edward Hospital	97162 HCPCS	—	—	$99.73 – $167	—
Pt Eval Moderate Complexity (61-90 Minutes) Inpatient	Methodist Medical Center of Illinois	97162 CPT	$333	$333	$33.30 – $220	—
Hc Physical Therapy Evaluation Moderate Complex 30 Min Inpatient & outpatient	University of Chicago Medical Center	97162 HCPCS	—	—	—	—
Pt eval mod complex 30 min Outpatient	University of Chicago Medical Center	97162 HCPCS	—	—	—	—
Pt Eval Moderate Complexity (61-90 Minutes) Inpatient	Carle BroMenn Medical Center	97162 CPT	$333	$333	$33.30 – $220	—
PT EVAL MOD COMP PER 15 PA ONLY Outpatient	Advocate Illinois Masonic Medical Center	97162 CPT	$190	$95.00	$74.86 – $469	—
HB PT EVALUATION MODERATE COMPLEX 30 MINS Inpatient & outpatient	Endeavor Health Swedish Hospital	97162 HCPCS	$376	$376	—	—
PT EVAL MOD COMPLEXITY Outpatient	Advocate Condell Medical Center	97162 CPT	$420	$210	$146 – $336	—
PT EVAL MOD COMP PER 15 PA ONLY Outpatient	Advocate Condell Medical Center	97162 CPT	$190	$95.00	$74.86 – $295	—
PT EVAL MOD COMP PER 15 PA ONLY Outpatient	Advocate Good Samaritan Hospital	97162 CPT	$190	$95.00	$74.86 – $469	—
PT EVAL MOD COMPLEXITY Outpatient	Advocate Good Samaritan Hospital	97162 CPT	$420	$210	$146 – $469	—
PT EVAL MOD COMP PER 15 PA ONLY Outpatient	Advocate South Suburban Hospital	97162 CPT	$190	$95.00	$74.86 – $469	—
PT EVAL MOD COMPLEXITY Outpatient	Advocate South Suburban Hospital	97162 CPT	$420	$210	$146 – $469	—
HC PT EVALUATION 15 MIN MOD COMPLEX Inpatient	Deaconess Gateway Hospital	97162 CPT	$527	$174	$174 – $464	$250
PT 97162 THERAPY EVALUATION - 30 MIN/5 Inpatient	Memorial Hospital of South Bend	97162 CPT	$288	$187	$57.60 – $236	—
PT EVAL MOD COMPLEXITY Inpatient	Aurora Medical Center Burlington	97162 CPT	$480	$240	$288 – $408	—
97162 PT EVAL 30 MIN PT IP Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$293	$249	$234 – $293	—
Moderate Complexity Evaluation - PT Untimed Charges Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$293	$249	$234 – $293	—
PT Eval 30 Min - PT MMC Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$293	$249	$234 – $293	—
97162 PT EVAL MOD COMPLEX 30 MIN Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$290	$247	$232 – $290	—
PT 97162 PT EVAL MOD COMPLEX 30M OP Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$293	$249	$234 – $293	—
PT EVAL IP 30 MIN Inpatient	Munson Healthcare Charlevoix Hospital	97162 CPT	$293	$249	$234 – $293	—
Moderate Complexity Evaluation - PT Untimed Charges Inpatient	Munson Healthcare Manistee Hospital	97162 CPT	$279	$237	$140 – $852	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 97162 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois University of Chicago Medical Center Carle BroMenn Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Deaconess Gateway Hospital Memorial Hospital of South Bend Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Froedtert Community Hospital - New Berlin Froedtert Community Hospital - Oak Creek Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Grayling Henderson Hospital Deaconess Gibson Hospital Deaconess Union County Hospital The Women's Hospital Deaconess Illinois Medical Center Community Hospital of Bremen Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Providence Seward Hospital Providence Valdez Medical Center St Elias Specialty Hospital Healdsburg Hospital Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro Providence Little Company of Mary Med Center Torrance Providence Saint John's Health Center Providence Saint Joseph Medical Center Providence St Joseph Medical Center Jefferson Abington Hospital

Code 97162: frequently asked

What does code 97162 cost?: Across the published hospital price files, the disclosed cash price for 97162 ranges from $54.28 to $709. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 97162?: 97162 is the billing code hospitals use to identify "Pt Eval Moderate Complexity (61-90 Minutes)" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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