Deaconess Illinois Medical Center — Physical therapy prices

← Hospital overviewVerified from Deaconess Illinois Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

24 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OT MANUIAL THERAPY 15 MIN Inpatient	97140 CPT	$535	$102	$102 – $481	—
HC OT NEUROMUSCULAR RE ED 15 MIN Inpatient	97112 CPT	$591	$112	$112 – $532	—
HC OT THERAPEUTIC EXERCISE 15 MIN Inpatient	97110 CPT	$508	$96.59	$96.58 – $458	—
HC PT EVALUATION 105 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 105 MIN MOD COMPLX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 120 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 120 MIN MOD COMPLX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 15 MIN II LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 15 MIN II MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 15 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 15 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 30 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 30 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 45 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 45 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 60 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 60 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 75 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 75 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 90 MIN LOW COMPLX Inpatient	97161 CPT	$1,368	$260	$260 – $1,231	—
HC PT EVALUATION 90 MIN MOD COMPLEX Inpatient	97162 CPT	$1,368	$260	$260 – $1,231	—
HC PT MANUAL THERAPY 15 MIN Inpatient	97140 CPT	$535	$102	$102 – $481	—
HC PT NEUROMUSCULAR RE ED 15 MIN Inpatient	97112 CPT	$591	$112	$112 – $532	—
HC PT THERAPEUTIC EXERCISE 15 MIN Inpatient	97110 CPT	$508	$96.59	$96.58 – $458	—