How much does physical therapy evaluation, moderate complexity cost in Cleveland, OH?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Cleveland, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Glenbeigh Health Sources (Rock Creek) lowest | Hospital | $95negotiated | 1.0× | — |
| Metrohealth System (Cleveland) | Hospital | $118cash | 1.2× | ★★★★★ hip/knee complications 4.7% |
| Ashtabula County Medical Center (Ashtabula) | Hospital | $195cash | 2.0× | ★★★★★ hip/knee complications 4.5% |
| Uh Cleveland Medical Center (Cleveland) | Hospital | $238cash | 2.4× | ★★★★★ |
| Lake Health (Concord) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.8% |
| Lake Health Beachwood Medical Center (Beachwood) | Hospital | $264cash | 2.7× | hip/knee complications 4.0% |
| Parma Community General Hospital (Parma) | Hospital | $264cash | 2.7× | ★★★★★ |
| Uh Regional Hospitals (Chardon) | Hospital | $264cash | 2.7× | ★★★★★ |
| Uh St John Medical Center (Westlake) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.2% |
| University Hospitals - Elyria Medical Center (Elyria) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 4.7% |
| University Hospitals Ahuja Medical Center (Beachwood) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.8% |
| Mercy Regional Medical Center (Lorain) | Hospital | $391cash | 4.0× | ★★★★★ hip/knee complications 4.6% |
| Cleveland Clinic (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.6% |
| Cleveland Clinic Avon Hospital (Avon) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 5.5% |
| Euclid Hospital (Euclid) | Hospital | $393cash | 4.0× | ★★★★★ |
| Fairview Hospital (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ |
| Hillcrest Hospital (Mayfield Heights) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.0% |
| Lutheran Hospital (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.9% |
| Marymount Hospital (Garfield Heights) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.4% |
| Medina Hospital (Medina) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.8% |
| South Pointe Hospital (Warrensville Heights) | Hospital | $393cash | 4.0× | ★★★★★ |
What should 97162 cost in Cleveland, OH?
For physical therapy evaluation, moderate complexity (CPT 97162) in Cleveland, OH, a fair self-pay price is around $264, with hospitals ranging from $264 to $393 across 21 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 Cleveland, OH?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Cleveland, OH is around $264, with hospital prices ranging from $264 to $393 across 21 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 Cleveland, 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.