How much does physical therapy evaluation, moderate complexity cost in northern-virginia?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for northern-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Mary Washington Hospital (Fredericksburg) lowest | Hospital | $125cash | 1.3× | ★★★★★ hip/knee complications 3.9% |
| Stafford Hospital (Stafford) | Hospital | $125cash | 1.3× | ★★★★★ |
| UVA Health Culpeper Medical Center (Culpeper) | Hospital | $150cash | 1.5× | ★★★★★ |
| Inova Alexandria Hospital (Alexandria) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 4.0% |
| Inova Fair Oaks Hospital (Fairfax) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 4.9% |
| Inova Fairfax Hospital (Falls Church) | Hospital | $212cash | 2.2× | ★★★★★ |
| Inova Loudoun Hospital (Leesburg) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 4.1% |
| Inova Mount Vernon Hospital (Alexandria) | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 3.7% |
| UVA Health Haymarket Medical Center (Haymarket) | Hospital | $218cash | 2.2× | ★★★★★ |
| UVA Health Prince William Medical Center (Manassas) | Hospital | $218cash | 2.2× | ★★★★★ |
| Sentara Northern Virginia Medical Center (Woodbridge) | Hospital | $264cash | 2.7× | ★★★★★ |
| Fauquier Hospital (Warrenton) | Hospital | $304cash | 3.1× | ★★★★★ hip/knee complications 5.6% |
| VHC Health, Virginia Hospital Center (Arlington) | Hospital | $370cash | 3.8× | ★★★★★ hip/knee complications 4.4% |
| Spotsylvania Regional Medical Center (Fredericksburg) gross charge | Hospital | $711cash | 7.3× | ★★★★★ |
| Reston Hospital Center (Reston) gross charge | Hospital | $882cash | 9.0× | ★★★★★ hip/knee complications 3.6% |
| StoneSprings Hospital Center (Dulles) gross charge | Hospital | $882cash | 9.0× | ★★★★★ hip/knee complications 3.1% |
What should 97162 cost in northern-virginia?
For physical therapy evaluation, moderate complexity (CPT 97162) in northern-virginia, a fair self-pay price is around $212, with hospitals ranging from $212 to $354 across 16 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 northern-virginia?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in northern-virginia is around $212, with hospital prices ranging from $212 to $354 across 16 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 northern-virginia
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.