How much does Physical therapy evaluation, moderate complexity cost in detroit?

CPT 97162 โ€” 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 โ€” not a guarantee, and not legal, medical, or financial advice.
97162 Physical therapy evaluation, moderate complexity
Market typical price
$151
29 facilities ยท typical range $133 โ€“ $297 ยท 1.5ร— Medicare PFS
What Medicare paysโ“˜
$98
Market typical
$151
Cash / self-pay price
$173
Prices near you โ€” 29 facilities, lowest first
FacilityTypePricevs MedicareQuality
Henry Ford Rochester Hospital (former Ascension Providence Rochester) lowest Hospital $69cash 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.6%
Lake Huron Medical Center (Port Huron; Prime Healthcare) Hospital $93cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4%
McLaren Macomb (Mount Clemens) Hospital $106cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
McLaren Oakland (Pontiac) Hospital $109cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Surgeons Choice Medical Center (Southfield) [PHYSICIAN-OWNED SURGICAL HOSPITAL] Hospital $120cash 1.2ร— โ€”
Henry Ford West Bloomfield Hospital Hospital $133cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Henry Ford Hospital (Detroit) Hospital $133cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Henry Ford Macomb Hospital (Clinton Township) Hospital $133cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.6%
Henry Ford Wyandotte Hospital Hospital $133cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Henry Ford Warren Hospital (former Ascension Macomb-Oakland) Hospital $136cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
DMC Huron Valley-Sinai Hospital (Commerce Township) Hospital $137cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5%
Henry Ford Providence Southfield Hospital (former Ascension Providence) Hospital $147cash 1.5ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.8%
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.
See Physical therapy evaluation, moderate complexity prices in another area

What should 97162 cost in detroit?

For Physical therapy evaluation, moderate complexity (CPT 97162) in detroit, a fair self-pay price is around $151, with hospitals ranging from $133 to $297 across 29 facilities. Medicare's benchmark rate is $98, the floor to negotiate toward. 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 detroit?

A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in detroit is around $151, with hospital prices ranging from $133 to $297 across 29 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 โ€” a fair cash-pay target is roughly 1.5โ€“2ร— 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.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

Compare other procedures in detroit

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.