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

CPT 97162 โ€” the fair price, every hospital's price, and the Medicare benchmark for Florida.

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
$391
91 facilities ยท typical range $226 โ€“ $944 ยท 4.0ร— Medicare PFS
What Medicare paysโ“˜
$98
Market typical
$391
Cash / self-pay price
$391
Prices near you โ€” 91 facilities, lowest first
FacilityTypePricevs MedicareQuality
Baptist Hospital (Pensacola) lowest Hospital $40cash 0.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.9%
Baptist Gulf Breeze Hospital [ORTHO-FOCUSED: Andrews Institute] Hospital $40cash 0.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.8%
Lakeland Regional Health Medical Center Hospital $61cash 0.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.2%
Ascension Sacred Heart Pensacola Hospital $81cash 0.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.7%
Lee Health Cape Coral Hospital Hospital $87cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.6%
Lee Health Gulf Coast Medical Center (Fort Myers) Hospital $87cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
Lee Health Lee Memorial Hospital (Fort Myers) Hospital $87cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.7%
Health First Viera Hospital (Melbourne) Hospital $90cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.3%
Health First Cape Canaveral Hospital (Cocoa Beach) Hospital $90cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.9%
Health First Holmes Regional Medical Center (Melbourne) Hospital $90cash 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.7%
Ascension St. Vincent's Southside (Jacksonville) Hospital $101cash 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
Ascension St. Vincent's Riverside (Jacksonville) Hospital $101cash 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.1%
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.
See Physical therapy evaluation, moderate complexity prices in another area

What should 97162 cost in Florida?

For Physical therapy evaluation, moderate complexity (CPT 97162) in Florida, a fair self-pay price is around $391, with hospitals ranging from $226 to $944 across 91 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 Florida?

A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in Florida is around $391, with hospital prices ranging from $226 to $944 across 91 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 Florida

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.