How much does Physical therapy evaluation, moderate complexity cost in hampton-roads?
CPT 97162 — 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 Regional Medical Center (Newport News) | Hospital | $130negotiated | 1.3× | ★★★★★ |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $130negotiated | 1.3× | ★★★★★ hip/knee complications 2.9% |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $130negotiated | 1.3× | ★★★★★ hip/knee complications 2.5% |
| Chesapeake Regional Medical Center (Chesapeake) | Hospital | $229cash | 2.3× | ★★★★★ hip/knee complications 4.6% |
| Bon Secours Harbour View Medical Center (Suffolk) | Hospital | $244cash | 2.5× | — |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $244cash | 2.5× | ★★★★★ hip/knee complications 4.7% |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 3.7% |
| Sentara CarePlex Hospital (Hampton) | Hospital | $264cash | 2.7× | ★★★★★ |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $264cash | 2.7× | ★★★★★ |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 6.2% |
| Sentara Obici Hospital (Suffolk) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.6% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $264cash | 2.7× | ★★★★★ |
| Bon Secours Maryview Medical Center (Portsmouth) | Hospital | $302cash | 3.1× | ★★★★★ |
What should 97162 cost in hampton-roads?
For Physical therapy evaluation, moderate complexity (CPT 97162) in hampton-roads, a fair self-pay price is around $254, with hospitals ranging from $130 to $264 across 14 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 hampton-roads?
A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in hampton-roads is around $254, with hospital prices ranging from $130 to $264 across 14 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.
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 — free.
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.