How much does physical therapy evaluation, low complexity cost in Ohio?
CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for Ohio.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
97161 Physical therapy evaluation, low complexity
Market typical price
$243
104 facilities · typical range $179 – $324 · 2.5× Medicare PFS
Typical
$243
Medicare $98
$83 lowboxed = typical rangehigh $47,520
What Medicare paysⓘ
$98
Market typical
$243
Cash / self-pay price
$258
Prices near you — 104 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Mercer County Joint Township Community Hospital (Coldwater) lowest | Hospital | $83cash | 0.8× | ★★★★★ |
| Coshocton Regional Medical Center (Coshocton) | Hospital | $93cash | 0.9× | ★★★★★ |
| East Liverpool City Hospital (East Liverpool) | Hospital | $93cash | 0.9× | ★★★★★ |
| Glenbeigh Health Sources (Rock Creek) | Hospital | $95negotiated | 1.0× | — |
| Metrohealth System (Cleveland) | Hospital | $118cash | 1.2× | ★★★★★ hip/knee complications 4.7% |
| Mercy Health - Defiance Hospital (Defiance) | Hospital | $121cash | 1.2× | ★★★★★ |
| Kings Daughters Medical Center Ohio (Portsmouth) | Hospital | $135cash | 1.4× | — |
| Mercy Health - Fairfield Hospital (Fairfield) | Hospital | $135cash | 1.4× | ★★★★★ hip/knee complications 4.3% |
| Mercy Health-Anderson Hospital (Cincinnati) | Hospital | $135cash | 1.4× | ★★★★★ hip/knee complications 3.6% |
| The Jewish Hospital-Mercy Health (Cincinnati) | Hospital | $135cash | 1.4× | ★★★★★ hip/knee complications 4.1% |
| Aultman Hospital (Canton) | Hospital | $138cash | 1.4× | ★★★★★ |
| Blanchard Valley Hospital (Findlay) | Hospital | $140cash | 1.4× | ★★★★★ hip/knee complications 7.2% |
| Miami Valley Hospital (Dayton) | Hospital | $140cash | 1.4× | ★★★★★ hip/knee complications 3.0% |
| Upper Valley Medical Center (Troy) | Hospital | $140cash | 1.4× | ★★★★★ |
| Mercy Health - Clermont Hospital (Batavia) | Hospital | $142cash | 1.4× | ★★★★★ |
| Mercy Health - West Hospital (Cincinnati) | Hospital | $142cash | 1.4× | ★★★★★ hip/knee complications 4.5% |
| Mercy Health Kings Mills Hospital Llc (Mason) | Hospital | $142cash | 1.4× | — |
| University Of Cincinnati Medical Center, Llc (Cincinnati) | Hospital | $152cash | 1.5× | ★★★★★ hip/knee complications 4.2% |
| West Chester Hospital (West Chester) | Hospital | $152cash | 1.5× | ★★★★★ hip/knee complications 5.1% |
| Madison Health (London) | Hospital | $156cash | 1.6× | ★★★★★ |
| Fairfield Medical Center (Lancaster) | Hospital | $158cash | 1.6× | ★★★★★ hip/knee complications 4.6% |
| Insight Hospital And Medical Center Trumbull (Warren) | Hospital | $160cash | 1.6× | ★★★★★ |
| Pomerene Hospital (Millersburg) | Hospital | $160cash | 1.6× | ★★★★★ |
| Ohio State University State Health System (Columbus) | Hospital | $163negotiated | 1.7× | ★★★★★ hip/knee complications 3.9% |
| Southeastern Ohio Regional Medical Center (Cambridge) | Hospital | $164cash | 1.7× | ★★★★★ |
| Grady Memorial Hospital (Delaware) | Hospital | $177cash | 1.8× | ★★★★★ hip/knee complications 3.9% |
| Grand Lake Health System (Saint Marys) | Hospital | $184cash | 1.9× | ★★★★★ |
| Ashtabula County Medical Center (Ashtabula) | Hospital | $186cash | 1.9× | ★★★★★ hip/knee complications 4.5% |
| Alliance Community Hospital (Alliance) | Hospital | $186cash | 1.9× | ★★★★★ hip/knee complications 4.3% |
| Mary Rutan Hospital (Bellefontaine) | Hospital | $193cash | 2.0× | ★★★★★ |
| Institute For Orthopaedic Surgery (Lima) | Hospital | $195negotiated | 2.0× | hip/knee complications 4.7% |
| Van Wert County Hospital (Van Wert) | Hospital | $197cash | 2.0× | ★★★★★ hip/knee complications 3.6% |
| Salem Regional Medical Center (Salem) | Hospital | $201cash | 2.1× | ★★★★★ |
| Atrium Medical Center (Franklin) | Hospital | $202cash | 2.1× | ★★★★★ |
| Trihealth Clinton Regional Hospital (Wilmington) | Hospital | $205cash | 2.1× | ★★★★★ |
| Adena Regional Medical Center (Chillicothe) | Hospital | $220cash | 2.2× | ★★★★★ hip/knee complications 3.5% |
| University Of Toledo Medical Center (Toledo) | Hospital | $227cash | 2.3× | ★★★★★ hip/knee complications 5.0% |
| Ohiohealth Mansfield Hospital (Mansfield) | Hospital | $227cash | 2.3× | ★★★★★ hip/knee complications 3.9% |
| Bethesda North (Cincinnati) | Hospital | $230cash | 2.3× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $230cash | 2.3× | ★★★★★ hip/knee complications 4.1% |
| Fort Hamilton Hughes Memorial Hospital (Hamilton) | Hospital | $232cash | 2.4× | ★★★★★ hip/knee complications 4.3% |
| Kettering Health Dayton (Dayton) | Hospital | $232cash | 2.4× | ★★★★★ hip/knee complications 4.4% |
| Kettering Health Greene Memorial (Xenia) | Hospital | $232cash | 2.4× | ★★★★★ |
| Kettering Health Main Campus (Kettering) | Hospital | $232cash | 2.4× | ★★★★★ |
| Kettering Health Miamisburg (Miamisburg) | Hospital | $232cash | 2.4× | ★★★★★ |
| Kettering Health Troy (Troy) | Hospital | $232cash | 2.4× | ★★★★★ |
| Soin Medical Center (Beaver Creek) | Hospital | $232cash | 2.4× | ★★★★★ |
| Uh Cleveland Medical Center (Cleveland) | Hospital | $238cash | 2.4× | ★★★★★ |
| Fisher-Titus Hospital (Norwalk) | Hospital | $241cash | 2.5× | ★★★★★ |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $243cash | 2.5× | ★★★★★ |
| Memorial Hospital (Marysville) | Hospital | $244cash | 2.5× | ★★★★★ |
| Surgical Hospital At Southwoods (Youngstown) | Hospital | $254cash | 2.6× | ★★★★★ hip/knee complications 3.7% |
| Lima Memorial Health System (Lima) | Hospital | $257cash | 2.6× | ★★★★★ |
| Marion General Hospital (Marion) | Hospital | $258cash | 2.6× | ★★★★★ hip/knee complications 4.2% |
| Ohiohealth O'Bleness Hospital (Athens) | Hospital | $258cash | 2.6× | ★★★★★ |
| Mercy St Vincent Medical Center (Toledo) | Hospital | $263cash | 2.7× | ★★★★★ hip/knee complications 4.7% |
| Lake Health (Concord) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.8% |
| Lake Health Beachwood Medical Center (Beachwood) | Hospital | $264cash | 2.7× | hip/knee complications 4.0% |
| Parma Community General Hospital (Parma) | Hospital | $264cash | 2.7× | ★★★★★ |
| Uh Regional Hospitals (Chardon) | Hospital | $264cash | 2.7× | ★★★★★ |
| Uh St John Medical Center (Westlake) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.2% |
| University Hospitals - Elyria Medical Center (Elyria) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 4.7% |
| University Hospitals Ahuja Medical Center (Beachwood) | Hospital | $264cash | 2.7× | ★★★★★ hip/knee complications 5.8% |
| University Hospitals Portage Medical Center (Ravenna) | Hospital | $264cash | 2.7× | ★★★★★ |
| Memorial Hospital (Fremont) | Hospital | $270cash | 2.8× | ★★★★★ |
| University Hospitals Samaritan Medical Center (Ashland) | Hospital | $276cash | 2.8× | ★★★★★ |
| Doctors Hospital (Columbus) | Hospital | $278cash | 2.8× | ★★★★★ |
| Dublin Methodist Hospital (Dublin) | Hospital | $278cash | 2.8× | ★★★★★ hip/knee complications 4.2% |
| Grant Medical Center (Columbus) | Hospital | $278cash | 2.8× | ★★★★★ hip/knee complications 4.2% |
| Riverside Methodist Hospital (Columbus) | Hospital | $278cash | 2.8× | ★★★★★ hip/knee complications 3.8% |
| Mercy Medical Center (Canton) | Hospital | $280cash | 2.9× | ★★★★★ hip/knee complications 4.0% |
| Avita Ontario (Ontario) | Hospital | $282cash | 2.9× | ★★★★★ |
| Marietta Memorial Hospital (Marietta) | Hospital | $296cash | 3.0× | ★★★★★ |
| Wilson Memorial Hospital (Sidney) | Hospital | $299cash | 3.0× | ★★★★★ |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $301cash | 3.1× | ★★★★★ |
| Diley Ridge Medical Center (Canal Winchester) | Hospital | $324cash | 3.3× | — |
| Mount Carmel Dublin (Dublin) | Hospital | $324cash | 3.3× | — |
| Mount Carmel East & West (Columbus) | Hospital | $324cash | 3.3× | ★★★★★ hip/knee complications 4.2% |
| Mount Carmel New Albany Surgical Hospital (New Albany) | Hospital | $324cash | 3.3× | hip/knee complications 4.5% |
| Mount Carmel St Ann'S (Westerville) | Hospital | $324cash | 3.3× | ★★★★★ hip/knee complications 4.6% |
| Knox Community Hospital (Mount Vernon) | Hospital | $326cash | 3.3× | ★★★★★ |
| Wood County Hospital (Bowling Green) | Hospital | $327cash | 3.3× | ★★★★★ hip/knee complications 4.5% |
| Berger Hospital (Circleville) | Hospital | $328cash | 3.3× | ★★★★★ |
| Bay Park Community Hospital (Oregon) | Hospital | $330cash | 3.4× | ★★★★★ |
| Promedica Toledo Hospital (Toledo) | Hospital | $330cash | 3.4× | ★★★★★ hip/knee complications 5.4% |
| Mercy Regional Medical Center (Lorain) | Hospital | $331cash | 3.4× | ★★★★★ hip/knee complications 4.6% |
| Crystal Clinic Orthopaedic Center (Akron) | Hospital | $379cash | 3.9× | ★★★★★ hip/knee complications 3.6% |
| Licking Memorial Hospital (Newark) | Hospital | $383cash | 3.9× | ★★★★★ hip/knee complications 5.2% |
| Akron General Medical Center (Akron) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 4.6% |
| Cleveland Clinic (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.6% |
| Cleveland Clinic Avon Hospital (Avon) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 5.5% |
| Euclid Hospital (Euclid) | Hospital | $393cash | 4.0× | ★★★★★ |
| Fairview Hospital (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ |
| Hillcrest Hospital (Mayfield Heights) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.0% |
| Lutheran Hospital (Cleveland) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.9% |
| Marymount Hospital (Garfield Heights) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.4% |
| Medina Hospital (Medina) | Hospital | $393cash | 4.0× | ★★★★★ hip/knee complications 3.8% |
| South Pointe Hospital (Warrensville Heights) | Hospital | $393cash | 4.0× | ★★★★★ |
| Union Hospital (Dover) | Hospital | $393cash | 4.0× | ★★★★★ |
| Springfield Regional Medical Center (Springfield) | Hospital | $434cash | 4.4× | ★★★★★ hip/knee complications 4.5% |
| Summa Health System (Akron) gross charge | Hospital | $745cash | 7.6× | ★★★★★ hip/knee complications 3.5% |
| Summa Western Reserve Hospital (Cuyahoga Falls) gross charge | Hospital | $745cash | 7.6× | ★★★★★ |
| Genesis Hospital (Zanesville) gross charge | Hospital | $2,041cash | 20.8× | ★★★★★ hip/knee complications 4.9% |
| Mh St Joseph Warren Hospital (Warren) gross charge | Hospital | $47,520cash | 484.8× | ★★★★★ hip/knee complications 4.2% |
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. 4 unusually low/high prices excluded from the typical price as likely data errors.
See physical therapy evaluation, low complexity prices in another area
What should 97161 cost in Ohio?
For physical therapy evaluation, low complexity (CPT 97161) in Ohio, a fair self-pay price is around $243, with hospitals ranging from $179 to $324 across 104 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, low complexity cost in Ohio?
A fair self-pay price for physical therapy evaluation, low complexity (CPT 97161) in Ohio is around $243, with hospital prices ranging from $179 to $324 across 104 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 — 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, 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.
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 97161, 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.