How much does physical therapy evaluation, moderate complexity cost in Michigan?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Michigan.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
97162 Physical therapy evaluation, moderate complexity
Market typical price
$191
56 facilities · typical range $133 – $274 · 1.9× Medicare PFS
Typical
$191
Medicare $98
$69 lowboxed = typical rangehigh $1,399
What Medicare pays
$98
Market typical
$191
Cash / self-pay price
$233
Prices near you — 56 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Henry Ford Rochester Hospital (former Ascension Providence Rochester) lowest | Hospital | $69cash | 0.7× | ★★★★★ hip/knee complications 3.6% |
| University of Michigan Health-Sparrow Lansing (Edward W. Sparrow Hospital) | Hospital | $93cash | 0.9× | ★★★★★ |
| Beacon Kalamazoo (former Ascension Borgess Medical Center) | Hospital | $94negotiated | 1.0× | ★★★★★ hip/knee complications 3.8% |
| Henry Ford Genesys Hospital (Grand Blanc; former Ascension Genesys) | Hospital | $94negotiated | 1.0× | ★★★★★ hip/knee complications 4.3% |
| University of Michigan Health-West (Wyoming) | Hospital | $97cash | 1.0× | ★★★★★ hip/knee complications 4.3% |
| McLaren Macomb (Mount Clemens) | Hospital | $106cash | 1.1× | ★★★★★ |
| McLaren Greater Lansing | Hospital | $107cash | 1.1× | ★★★★★ hip/knee complications 3.3% |
| McLaren Oakland (Pontiac) | Hospital | $109cash | 1.1× | ★★★★★ |
| Surgeons Choice Medical Center (Southfield) [PHYSICIAN-OWNED SURGICAL HOSPITAL] | Hospital | $120cash | 1.2× | — |
| McLaren Northern Michigan (Petoskey) | Hospital | $121cash | 1.2× | ★★★★★ hip/knee complications 4.3% |
| McLaren Flint | Hospital | $123cash | 1.3× | ★★★★★ hip/knee complications 5.6% |
| Henry Ford Jackson Hospital (former Allegiance Health) | Hospital | $126negotiated | 1.3× | ★★★★★ hip/knee complications 3.8% |
| 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% |
| DMC Huron Valley-Sinai Hospital (Commerce Township) | Hospital | $137cash | 1.4× | ★★★★★ hip/knee complications 5% |
| Henry Ford Providence Novi Hospital (former Ascension Providence; shares CCN with Southfield) | Hospital | $147cash | 1.5× | ★★★★★ hip/knee complications 4.8% |
| Henry Ford Providence Southfield Hospital (former Ascension Providence) | Hospital | $147cash | 1.5× | ★★★★★ hip/knee complications 4.8% |
| McLaren Port Huron | Hospital | $154cash | 1.6× | ★★★★★ hip/knee complications 4.7% |
| MyMichigan Medical Center Alpena | Hospital | $157cash | 1.6× | ★★★★★ hip/knee complications 4.1% |
| MyMichigan Medical Center Midland | Hospital | $162cash | 1.7× | ★★★★★ hip/knee complications 2.9% |
| Henry Ford St. John Hospital (Detroit; former Ascension St. John) | Hospital | $173cash | 1.8× | ★★★★★ hip/knee complications 3.8% |
| Holland Hospital | Hospital | $176cash | 1.8× | ★★★★★ |
| University of Michigan Health University Hospital (Michigan Medicine, Ann Arbor) | Hospital | $181cash | 1.8× | ★★★★★ hip/knee complications 4.9% |
| McLaren Bay Region (Bay City) | Hospital | $200cash | 2.0× | ★★★★★ hip/knee complications 4.2% |
| Trinity Health Grand Rapids Hospital (former Mercy Health Saint Mary's) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 3.4% |
| Trinity Health Muskegon Hospital (former Mercy Health Hackley) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 4.4% |
| Bronson Battle Creek Hospital | Hospital | $233cash | 2.4× | ★★★★★ hip/knee complications 4.2% |
| Bronson Methodist Hospital (Kalamazoo) | Hospital | $233cash | 2.4× | ★★★★★ hip/knee complications 4.4% |
| Corewell Health Blodgett Hospital (East Grand Rapids; shares CCN with Butterworth) | Hospital | $237cash | 2.4× | ★★★★★ hip/knee complications 4.5% |
| Corewell Health Butterworth Hospital (Grand Rapids) | Hospital | $237cash | 2.4× | ★★★★★ hip/knee complications 4.5% |
| Chelsea Hospital (Trinity Health / Michigan Medicine) | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 3.5% |
| Trinity Health Ann Arbor Hospital | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 3.3% |
| Trinity Health Livingston Hospital (Howell) | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 3.5% |
| Trinity Health Livonia Hospital | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 4.6% |
| Trinity Health Oakland Hospital (Pontiac) | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 6.7% |
| Corewell Health Zeeland Hospital | Hospital | $249cash | 2.5× | ★★★★★ |
| MyMichigan Medical Center Saginaw (former St. Mary's of Michigan) | Hospital | $251cash | 2.6× | ★★★★★ hip/knee complications 4.7% |
| Munson Medical Center (Traverse City) | Hospital | $253cash | 2.6× | ★★★★★ hip/knee complications 4.4% |
| UP Health System - Marquette | Hospital | $266cash | 2.7× | ★★★★★ hip/knee complications 4.7% |
| Covenant HealthCare (Saginaw) | Hospital | $277cash | 2.8× | ★★★★★ hip/knee complications 4.5% |
| Corewell Health Beaumont Grosse Pointe Hospital | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 3.7% |
| Corewell Health Beaumont Troy Hospital | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health Dearborn Hospital | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 4.6% |
| Corewell Health Farmington Hills Hospital | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 4% |
| Corewell Health Taylor Hospital | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 3.7% |
| Corewell Health Trenton Hospital | Hospital | $297cash | 3.0× | ★★★★★ |
| Corewell Health Wayne Hospital | Hospital | $297cash | 3.0× | ★★★★★ |
| Corewell Health William Beaumont University Hospital (Royal Oak) | Hospital | $297cash | 3.0× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health Lakeland Hospital (St. Joseph) | Hospital | $364cash | 3.7× | ★★★★★ hip/knee complications 3.4% |
| Hurley Medical Center (Flint) gross charge | Hospital | $592cash | 6.0× | ★★★★★ |
| DMC Sinai-Grace Hospital gross charge | Hospital | $681cash | 6.9× | ★★★★★ |
| DMC Harper University Hospital gross charge | Hospital | $748cash | 7.6× | ★★★★★ hip/knee complications 3.3% |
| DMC Detroit Receiving Hospital gross charge | Hospital | $1,399cash | 14.3× | ★★★★★ |
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. 4 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 Michigan?
For physical therapy evaluation, moderate complexity (CPT 97162) in Michigan, a fair self-pay price is around $191, with hospitals ranging from $133 to $274 across 56 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, moderate complexity cost in Michigan?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Michigan is around $191, with hospital prices ranging from $133 to $274 across 56 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.
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 97162, ranked, with the phone number and an out-of-pocket estimate.
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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.