How much does Physical therapy evaluation, low complexity cost in Northern Arizona?

CPT 97161 โ€” the fair price, every hospital's price, and the Medicare benchmark for Northern Arizona.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
97161 Physical therapy evaluation, low complexity
Market typical price
$197
8 facilities ยท typical range $161 โ€“ $270 ยท 2.0ร— Medicare PFS
What Medicare paysโ“˜
$98
Market typical
$197
Cash / self-pay price
$197
Prices near you โ€” 8 facilities, lowest first
FacilityTypePricevs MedicareQuality
Kingman Regional Medical Center lowest Hospital $97cash 1.0ร— โ€”
White Mountain Regional Medical Center (Springerville) Hospital $157cash 1.6ร— โ€”
Banner Page Hospital (Page) Hospital $173cash 1.8ร— โ€”
Yavapai Regional Medical Center (Prescott & Prescott Valley) Hospital $197cash 2.0ร—
hip/knee complications 3.5%
Flagstaff Medical Center Hospital $197cash 2.0ร—
hip/knee complications 4.6%
Verde Valley Medical Center (Cottonwood) Hospital $224cash 2.3ร— โ€”
Little Colorado Medical Center (Winslow) Hospital $285cash 2.9ร— โ€”
Havasu Regional Medical Center (Lake Havasu City) Hospital $332cash 3.4ร—
hip/knee complications 3.2%
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.
See Physical therapy evaluation, low complexity prices in another area

What should 97161 cost in Northern Arizona?

For Physical therapy evaluation, low complexity (CPT 97161) in Northern Arizona, a fair self-pay price is around $197, with hospitals ranging from $161 to $270 across 8 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, low complexity cost in Northern Arizona?

A fair self-pay price for Physical therapy evaluation, low complexity (CPT 97161) in Northern Arizona is around $197, with hospital prices ranging from $161 to $270 across 8 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 โ€” a fair cash-pay target is roughly 1.5โ€“2ร— 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.

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 โ€” free.

Compare other procedures in Northern Arizona

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.