How much does physical therapy evaluation, moderate complexity cost in Columbus, OH?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Columbus, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Fairfield Medical Center (Lancaster) lowest | Hospital | $158cash | 1.6× | ★★★★★ hip/knee complications 4.6% |
| Madison Health (London) | Hospital | $167cash | 1.7× | ★★★★★ |
| Ohio State University State Health System (Columbus) | Hospital | $188negotiated | 1.9× | ★★★★★ hip/knee complications 3.9% |
| Grady Memorial Hospital (Delaware) | Hospital | $194cash | 2.0× | ★★★★★ hip/knee complications 3.9% |
| Memorial Hospital (Marysville) | Hospital | $263cash | 2.7× | ★★★★★ |
| Doctors Hospital (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ |
| Dublin Methodist Hospital (Dublin) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 4.2% |
| Grant Medical Center (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 4.2% |
| Riverside Methodist Hospital (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 3.8% |
| Knox Community Hospital (Mount Vernon) | Hospital | $348cash | 3.6× | ★★★★★ |
| Berger Hospital (Circleville) | Hospital | $358cash | 3.6× | ★★★★★ |
| Licking Memorial Hospital (Newark) | Hospital | $383cash | 3.9× | ★★★★★ hip/knee complications 5.2% |
| Diley Ridge Medical Center (Canal Winchester) | Hospital | $474cash | 4.8× | — |
| Mount Carmel Dublin (Dublin) | Hospital | $474cash | 4.8× | — |
| Mount Carmel East & West (Columbus) | Hospital | $474cash | 4.8× | ★★★★★ hip/knee complications 4.2% |
| Mount Carmel New Albany Surgical Hospital (New Albany) | Hospital | $474cash | 4.8× | hip/knee complications 4.5% |
| Mount Carmel St Ann'S (Westerville) | Hospital | $474cash | 4.8× | ★★★★★ hip/knee complications 4.6% |
What should 97162 cost in Columbus, OH?
For physical therapy evaluation, moderate complexity (CPT 97162) in Columbus, OH, a fair self-pay price is around $302, with hospitals ranging from $228 to $474 across 17 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 Columbus, OH?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Columbus, OH is around $302, with hospital prices ranging from $228 to $474 across 17 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 Columbus, 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.