How much does physical therapy evaluation, low complexity cost in hampton-roads?
CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for hampton-roads.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Sentara Williamsburg Regional Medical Center (Williamsburg) lowest | Hospital | $102negotiated | 1.0× | ★★★★★ hip/knee complications 5.6% |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $130negotiated | 1.3× | ★★★★★ hip/knee complications 2.5% |
| Riverside Regional Medical Center (Newport News) | Hospital | $130negotiated | 1.3× | ★★★★★ |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $130negotiated | 1.3× | ★★★★★ hip/knee complications 2.9% |
| Chesapeake Regional Medical Center (Chesapeake) | Hospital | $170cash | 1.7× | ★★★★★ hip/knee complications 4.6% |
| Sentara CarePlex Hospital (Hampton) | Hospital | $216cash | 2.2× | ★★★★★ |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $216cash | 2.2× | ★★★★★ hip/knee complications 6.2% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $216cash | 2.2× | ★★★★★ |
| Sentara Obici Hospital (Suffolk) | Hospital | $216cash | 2.2× | ★★★★★ hip/knee complications 5.6% |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $216cash | 2.2× | ★★★★★ |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $216cash | 2.2× | ★★★★★ hip/knee complications 3.7% |
| Bon Secours Maryview Medical Center (Portsmouth) | Hospital | $302cash | 3.1× | ★★★★★ |
| Bon Secours Harbour View Medical Center (Suffolk) | Hospital | $305cash | 3.1× | — |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $305cash | 3.1× | ★★★★★ hip/knee complications 4.7% |
What should 97161 cost in hampton-roads?
For physical therapy evaluation, low complexity (CPT 97161) in hampton-roads, a fair self-pay price is around $216, with hospitals ranging from $130 to $237 across 14 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 hampton-roads?
A fair self-pay price for physical therapy evaluation, low complexity (CPT 97161) in hampton-roads is around $216, with hospital prices ranging from $130 to $237 across 14 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 hampton-roads
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.