How much does physical therapy evaluation, moderate complexity cost in Dayton, OH?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Dayton, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Kettering Health Dayton (Dayton) lowest | Hospital | $242cash | 2.5× | ★★★★★ hip/knee complications 4.4% |
| Kettering Health Greene Memorial (Xenia) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Main Campus (Kettering) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Miamisburg (Miamisburg) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Troy (Troy) | Hospital | $242cash | 2.5× | ★★★★★ |
| Soin Medical Center (Beaver Creek) | Hospital | $242cash | 2.5× | ★★★★★ |
| Miami Valley Hospital (Dayton) | Hospital | $282cash | 2.9× | ★★★★★ hip/knee complications 3.0% |
| Upper Valley Medical Center (Troy) | Hospital | $282cash | 2.9× | ★★★★★ |
| Wilson Memorial Hospital (Sidney) | Hospital | $299cash | 3.0× | ★★★★★ |
| Mary Rutan Hospital (Bellefontaine) gross charge | Hospital | $429cash | 4.4× | ★★★★★ |
| Springfield Regional Medical Center (Springfield) gross charge | Hospital | $460cash | 4.7× | ★★★★★ hip/knee complications 4.5% |
What should 97162 cost in Dayton, OH?
For physical therapy evaluation, moderate complexity (CPT 97162) in Dayton, OH, a fair self-pay price is around $242, with hospitals ranging from $242 to $299 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, moderate complexity cost in Dayton, OH?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Dayton, OH is around $242, with hospital prices ranging from $242 to $299 across 11 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 Dayton, 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.