How much does physical therapy evaluation, low complexity cost in Dayton, OH?

CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for Dayton, OH.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
97161 Physical therapy evaluation, low complexity
Market typical price
$232
11 facilities · typical range $193 – $232 · 2.4× Medicare PFS
What Medicare paysⓘ
$98
Market typical
$232
Cash / self-pay price
$232
Prices near you — 11 facilities, lowest first
FacilityTypePricevs MedicareQuality
Miami Valley Hospital (Dayton) lowest Hospital $140cash 1.4× ★★★★★
hip/knee complications 3.0%
Upper Valley Medical Center (Troy) Hospital $140cash 1.4× ★★★★★
Mary Rutan Hospital (Bellefontaine) Hospital $193cash 2.0× ★★★★★
Kettering Health Dayton (Dayton) Hospital $232cash 2.4× ★★★★★
hip/knee complications 4.4%
Kettering Health Greene Memorial (Xenia) Hospital $232cash 2.4× ★★★★★
Kettering Health Main Campus (Kettering) Hospital $232cash 2.4× ★★★★★
Kettering Health Miamisburg (Miamisburg) Hospital $232cash 2.4× ★★★★★
Kettering Health Troy (Troy) Hospital $232cash 2.4× ★★★★★
Soin Medical Center (Beaver Creek) Hospital $232cash 2.4× ★★★★★
Wilson Memorial Hospital (Sidney) gross charge Hospital $299cash 3.0× ★★★★★
Springfield Regional Medical Center (Springfield) gross charge Hospital $434cash 4.4× ★★★★★
hip/knee complications 4.5%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 2 unusually low/high prices excluded from the typical price as likely data errors.
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What should 97161 cost in Dayton, OH?

For physical therapy evaluation, low complexity (CPT 97161) in Dayton, OH, a fair self-pay price is around $232, with hospitals ranging from $193 to $232 across 11 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, low complexity cost in Dayton, OH?

A fair self-pay price for physical therapy evaluation, low complexity (CPT 97161) in Dayton, OH is around $232, with hospital prices ranging from $193 to $232 across 11 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 97161?

Medicare pays about $98 for physical therapy evaluation, low complexity (CPT 97161). 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, low 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 97161, ranked, with the phone number and an out-of-pocket estimate.

Compare other procedures in Dayton, OH

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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.