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

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

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
$147
29 facilities · typical range $131 – $198 · 1.5× Medicare PFS
What Medicare pays
$98
Market typical
$147
Cash / self-pay price
$173
Prices near you — 29 facilities, lowest first
FacilityTypePricevs MedicareQuality
Henry Ford Rochester Hospital (former Ascension Providence Rochester) lowest Hospital $69cash 0.7× ★★★★★
hip/knee complications 3.6%
McLaren Macomb (Mount Clemens) Hospital $71cash 0.7× ★★★★★
McLaren Oakland (Pontiac) Hospital $73cash 0.7× ★★★★★
Straith Hospital for Special Surgery (Southfield) [ORTHO SPECIALTY HOSPITAL] Hospital $98cash 1.0× —
Surgeons Choice Medical Center (Southfield) [PHYSICIAN-OWNED SURGICAL HOSPITAL] Hospital $100cash 1.0× —
McLaren Port Huron Hospital $120cash 1.2× ★★★★★
hip/knee complications 4.7%
DMC Huron Valley-Sinai Hospital (Commerce Township) Hospital $128cash 1.3× ★★★★★
hip/knee complications 5%
Henry Ford Hospital (Detroit) Hospital $133cash 1.4× ★★★★★
Henry Ford Macomb Hospital (Clinton Township) Hospital $133cash 1.4× ★★★★★
hip/knee complications 5.6%
Henry Ford West Bloomfield Hospital Hospital $133cash 1.4× ★★★★★
hip/knee complications 3.3%
Henry Ford Wyandotte Hospital Hospital $133cash 1.4× ★★★★★
Henry Ford Warren Hospital (former Ascension Macomb-Oakland) Hospital $136cash 1.4× ★★★★★
hip/knee complications 3.5%
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. 3 unusually low/high prices excluded from the typical price as likely data errors.
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What should 97161 cost in detroit?

For physical therapy evaluation, low complexity (CPT 97161) in detroit, a fair self-pay price is around $147, with hospitals ranging from $131 to $198 across 29 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 detroit?

A fair self-pay price for physical therapy evaluation, low complexity (CPT 97161) in detroit is around $147, with hospital prices ranging from $131 to $198 across 29 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 detroit

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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.