How much does Physical therapy evaluation, moderate complexity cost in Northern Arizona?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Northern Arizona.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Flagstaff Medical Center lowest | Hospital | $133cash | 1.4× | hip/knee complications 4.6% |
| Kingman Regional Medical Center | Hospital | $144cash | 1.5× | — |
| White Mountain Regional Medical Center (Springerville) | Hospital | $171cash | 1.7× | — |
| Verde Valley Medical Center (Cottonwood) | Hospital | $172cash | 1.8× | — |
| Banner Page Hospital (Page) | Hospital | $228cash | 2.3× | — |
| Yavapai Regional Medical Center (Prescott & Prescott Valley) | Hospital | $230cash | 2.3× | hip/knee complications 3.5% |
| Little Colorado Medical Center (Winslow) | Hospital | $292cash | 3.0× | — |
| Havasu Regional Medical Center (Lake Havasu City) | Hospital | $381cash | 3.9× | hip/knee complications 3.2% |
What should 97162 cost in Northern Arizona?
For Physical therapy evaluation, moderate complexity (CPT 97162) in Northern Arizona, a fair self-pay price is around $200, with hospitals ranging from $150 to $276 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, moderate complexity cost in Northern Arizona?
A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in Northern Arizona is around $200, with hospital prices ranging from $150 to $276 across 8 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 Northern Arizona
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.