How much does physical therapy evaluation, moderate complexity cost in Nevada?

CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Nevada.

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
$232
27 facilities · typical range $193 – $355 · 2.4× Medicare PFS
What Medicare pays
$98
Market typical
$232
Cash / self-pay price
$272
Prices near you — 27 facilities, lowest first
FacilityTypePricevs MedicareQuality
North Vista Hospital (North Las Vegas) lowest Hospital $97cash 1.0× ★★★★★
Saint Mary's Regional Medical Center (Reno) Hospital $97cash 1.0× ★★★★★
Dignity Health St. Rose Dominican - San Martin Campus (Las Vegas) Hospital $141cash 1.4× ★★★★★
Dignity Health St. Rose Dominican - Siena Campus (Henderson) Hospital $157cash 1.6× ★★★★★
hip/knee complications 4.2%
Dignity Health St. Rose Dominican - Rose de Lima Campus (Henderson) Hospital $167cash 1.7× —
Spring Valley Hospital Medical Center (Las Vegas) Hospital $178negotiated 1.8× ★★★★★
hip/knee complications 5.2%
Centennial Hills Hospital Medical Center (Las Vegas) Hospital $193negotiated 2.0× ★★★★★
hip/knee complications 3.7%
Henderson Hospital (Henderson) Hospital $193negotiated 2.0× ★★★★★
hip/knee complications 6.2%
Summerlin Hospital Medical Center (Las Vegas) Hospital $193negotiated 2.0× ★★★★★
West Henderson Hospital (Henderson) Hospital $193negotiated 2.0× —
Northeastern Nevada Regional Hospital (Elko) Hospital $209cash 2.1× ★★★★★
Banner Churchill Community Hospital (Fallon) Hospital $232cash 2.4× ★★★★★
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.
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What should 97162 cost in Nevada?

For physical therapy evaluation, moderate complexity (CPT 97162) in Nevada, a fair self-pay price is around $232, with hospitals ranging from $193 to $355 across 27 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 Nevada?

A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Nevada is around $232, with hospital prices ranging from $193 to $355 across 27 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.

Compare other procedures in Nevada

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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.