How much does physical therapy evaluation, moderate complexity cost in Cincinnati, OH?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Cincinnati, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Mercy Health - Fairfield Hospital (Fairfield) lowest | Hospital | $158cash | 1.6× | ★★★★★ hip/knee complications 4.3% |
| Mercy Health - Clermont Hospital (Batavia) | Hospital | $166cash | 1.7× | ★★★★★ |
| Mercy Health - West Hospital (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 4.5% |
| Mercy Health Kings Mills Hospital Llc (Mason) | Hospital | $166cash | 1.7× | — |
| Mercy Health-Anderson Hospital (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 3.6% |
| The Jewish Hospital-Mercy Health (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 4.1% |
| University Of Cincinnati Medical Center, Llc (Cincinnati) | Hospital | $168cash | 1.7× | ★★★★★ hip/knee complications 4.2% |
| West Chester Hospital (West Chester) | Hospital | $168cash | 1.7× | ★★★★★ hip/knee complications 5.1% |
| Fort Hamilton Hughes Memorial Hospital (Hamilton) | Hospital | $242cash | 2.5× | ★★★★★ hip/knee complications 4.3% |
| Bethesda North (Cincinnati) | Hospital | $255cash | 2.6× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $255cash | 2.6× | ★★★★★ hip/knee complications 4.1% |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $301cash | 3.1× | ★★★★★ |
| Atrium Medical Center (Franklin) gross charge | Hospital | $405cash | 4.1× | ★★★★★ |
What should 97162 cost in Cincinnati, OH?
For physical therapy evaluation, moderate complexity (CPT 97162) in Cincinnati, OH, a fair self-pay price is around $167, with hospitals ranging from $166 to $255 across 13 facilities. Medicare's benchmark rate is $98, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does physical therapy evaluation, moderate complexity cost in Cincinnati, OH?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Cincinnati, OH is around $167, with hospital prices ranging from $166 to $255 across 13 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 97162?
Medicare pays about $98 for physical therapy evaluation, moderate complexity (CPT 97162). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of physical therapy evaluation, moderate complexity?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 97162, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Cincinnati, OH
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.