How much does physical therapy evaluation, moderate complexity cost in Ohio?
CPT 97162 — 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.
97162 Physical therapy evaluation, moderate complexity
Market typical price
$264
103 facilities · typical range $200 – $367 · 2.7× Medicare PFS
Typical
$264
Medicare $98
$93 lowboxed = typical rangehigh $28,668
What Medicare paysⓘ
$98
Market typical
$264
Cash / self-pay price
$277
Prices near you — 103 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Coshocton Regional Medical Center (Coshocton) lowest | 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% |
| Aultman Hospital (Canton) | Hospital | $153cash | 1.6× | ★★★★★ |
| Fairfield Medical Center (Lancaster) | Hospital | $158cash | 1.6× | ★★★★★ hip/knee complications 4.6% |
| Mercy Health - Fairfield Hospital (Fairfield) | Hospital | $158cash | 1.6× | ★★★★★ hip/knee complications 4.3% |
| Mercy Health - Clermont Hospital (Batavia) | Hospital | $166cash | 1.7× | ★★★★★ |
| Mercy Health - West Hospital (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 4.5% |
| Mercy Health Kings Mills Hospital Llc (Mason) | Hospital | $166cash | 1.7× | — |
| Mercy Health-Anderson Hospital (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 3.6% |
| The Jewish Hospital-Mercy Health (Cincinnati) | Hospital | $166cash | 1.7× | ★★★★★ hip/knee complications 4.1% |
| Madison Health (London) | Hospital | $167cash | 1.7× | ★★★★★ |
| Pomerene Hospital (Millersburg) | Hospital | $168cash | 1.7× | ★★★★★ |
| University Of Cincinnati Medical Center, Llc (Cincinnati) | Hospital | $168cash | 1.7× | ★★★★★ hip/knee complications 4.2% |
| West Chester Hospital (West Chester) | Hospital | $168cash | 1.7× | ★★★★★ hip/knee complications 5.1% |
| Kings Daughters Medical Center Ohio (Portsmouth) | Hospital | $169cash | 1.7× | — |
| Mercy Health - Defiance Hospital (Defiance) | Hospital | $175cash | 1.8× | ★★★★★ |
| Blanchard Valley Hospital (Findlay) | Hospital | $180cash | 1.8× | ★★★★★ hip/knee complications 7.2% |
| Grand Lake Health System (Saint Marys) | Hospital | $184cash | 1.9× | ★★★★★ |
| Ohio State University State Health System (Columbus) | Hospital | $188negotiated | 1.9× | ★★★★★ hip/knee complications 3.9% |
| Southeastern Ohio Regional Medical Center (Cambridge) | Hospital | $191cash | 1.9× | ★★★★★ |
| Grady Memorial Hospital (Delaware) | Hospital | $194cash | 2.0× | ★★★★★ hip/knee complications 3.9% |
| Ashtabula County Medical Center (Ashtabula) | Hospital | $195cash | 2.0× | ★★★★★ hip/knee complications 4.5% |
| Institute For Orthopaedic Surgery (Lima) | Hospital | $195negotiated | 2.0× | hip/knee complications 4.7% |
| Insight Hospital And Medical Center Trumbull (Warren) | Hospital | $200cash | 2.0× | ★★★★★ |
| Mercer County Joint Township Community Hospital (Coldwater) | Hospital | $225cash | 2.3× | ★★★★★ |
| Van Wert County Hospital (Van Wert) | Hospital | $228cash | 2.3× | ★★★★★ hip/knee complications 3.6% |
| Adena Regional Medical Center (Chillicothe) | Hospital | $234cash | 2.4× | ★★★★★ hip/knee complications 3.5% |
| Uh Cleveland Medical Center (Cleveland) | Hospital | $238cash | 2.4× | ★★★★★ |
| Fort Hamilton Hughes Memorial Hospital (Hamilton) | Hospital | $242cash | 2.5× | ★★★★★ hip/knee complications 4.3% |
| Kettering Health Dayton (Dayton) | Hospital | $242cash | 2.5× | ★★★★★ hip/knee complications 4.4% |
| Kettering Health Greene Memorial (Xenia) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Main Campus (Kettering) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Miamisburg (Miamisburg) | Hospital | $242cash | 2.5× | ★★★★★ |
| Kettering Health Troy (Troy) | Hospital | $242cash | 2.5× | ★★★★★ |
| Soin Medical Center (Beaver Creek) | Hospital | $242cash | 2.5× | ★★★★★ |
| Trihealth Clinton Regional Hospital (Wilmington) | Hospital | $243cash | 2.5× | ★★★★★ |
| Ohiohealth Mansfield Hospital (Mansfield) | Hospital | $246cash | 2.5× | ★★★★★ hip/knee complications 3.9% |
| Fisher-Titus Hospital (Norwalk) | Hospital | $255cash | 2.6× | ★★★★★ |
| Bethesda North (Cincinnati) | Hospital | $255cash | 2.6× | ★★★★★ hip/knee complications 4.4% |
| Good Samaritan Hospital (Cincinnati) | Hospital | $255cash | 2.6× | ★★★★★ hip/knee complications 4.1% |
| Memorial Hospital (Marysville) | Hospital | $263cash | 2.7× | ★★★★★ |
| 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× | ★★★★★ |
| Marion General Hospital (Marion) | Hospital | $276cash | 2.8× | ★★★★★ hip/knee complications 4.2% |
| University Hospitals Samaritan Medical Center (Ashland) | Hospital | $276cash | 2.8× | ★★★★★ |
| Lima Memorial Health System (Lima) | Hospital | $277cash | 2.8× | ★★★★★ |
| Ohiohealth O'Bleness Hospital (Athens) | Hospital | $279cash | 2.8× | ★★★★★ |
| Alliance Community Hospital (Alliance) | Hospital | $280cash | 2.9× | ★★★★★ hip/knee complications 4.3% |
| University Of Toledo Medical Center (Toledo) | Hospital | $280cash | 2.9× | ★★★★★ hip/knee complications 5.0% |
| Miami Valley Hospital (Dayton) | Hospital | $282cash | 2.9× | ★★★★★ hip/knee complications 3.0% |
| Upper Valley Medical Center (Troy) | Hospital | $282cash | 2.9× | ★★★★★ |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $286cash | 2.9× | ★★★★★ |
| Surgical Hospital At Southwoods (Youngstown) | Hospital | $293cash | 3.0× | ★★★★★ hip/knee complications 3.7% |
| Wilson Memorial Hospital (Sidney) | Hospital | $299cash | 3.0× | ★★★★★ |
| Salem Regional Medical Center (Salem) | Hospital | $301cash | 3.1× | ★★★★★ |
| Mccullough-Hyde Memorial Hospital (Oxford) | Hospital | $301cash | 3.1× | ★★★★★ |
| Doctors Hospital (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ |
| Dublin Methodist Hospital (Dublin) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 4.2% |
| Grant Medical Center (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 4.2% |
| Riverside Methodist Hospital (Columbus) | Hospital | $302cash | 3.1× | ★★★★★ hip/knee complications 3.8% |
| Memorial Hospital (Fremont) | Hospital | $308cash | 3.1× | ★★★★★ |
| Mercy St Vincent Medical Center (Toledo) | Hospital | $310cash | 3.2× | ★★★★★ hip/knee complications 4.7% |
| Wood County Hospital (Bowling Green) | Hospital | $327cash | 3.3× | ★★★★★ hip/knee complications 4.5% |
| Mercy Medical Center (Canton) | Hospital | $329cash | 3.4× | ★★★★★ hip/knee complications 4.0% |
| Knox Community Hospital (Mount Vernon) | Hospital | $348cash | 3.6× | ★★★★★ |
| Avita Ontario (Ontario) | Hospital | $348cash | 3.6× | ★★★★★ |
| Berger Hospital (Circleville) | Hospital | $358cash | 3.6× | ★★★★★ |
| Marietta Memorial Hospital (Marietta) | Hospital | $360cash | 3.7× | ★★★★★ |
| Bay Park Community Hospital (Oregon) | Hospital | $367cash | 3.7× | ★★★★★ |
| Promedica Toledo Hospital (Toledo) | Hospital | $367cash | 3.7× | ★★★★★ hip/knee complications 5.4% |
| 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% |
| Mercy Regional Medical Center (Lorain) | Hospital | $391cash | 4.0× | ★★★★★ hip/knee complications 4.6% |
| 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× | ★★★★★ |
| Atrium Medical Center (Franklin) | Hospital | $405cash | 4.1× | ★★★★★ |
| Mary Rutan Hospital (Bellefontaine) | Hospital | $429cash | 4.4× | ★★★★★ |
| Springfield Regional Medical Center (Springfield) | Hospital | $460cash | 4.7× | ★★★★★ hip/knee complications 4.5% |
| Diley Ridge Medical Center (Canal Winchester) | Hospital | $474cash | 4.8× | — |
| Mount Carmel Dublin (Dublin) | Hospital | $474cash | 4.8× | — |
| Mount Carmel East & West (Columbus) | Hospital | $474cash | 4.8× | ★★★★★ hip/knee complications 4.2% |
| Mount Carmel New Albany Surgical Hospital (New Albany) | Hospital | $474cash | 4.8× | hip/knee complications 4.5% |
| Mount Carmel St Ann'S (Westerville) | Hospital | $474cash | 4.8× | ★★★★★ hip/knee complications 4.6% |
| 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 | $28,668cash | 292.5× | ★★★★★ hip/knee complications 4.9% |
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. 3 unusually low/high prices excluded from the typical price as likely data errors.
See physical therapy evaluation, moderate complexity prices in another area
What should 97162 cost in Ohio?
For physical therapy evaluation, moderate complexity (CPT 97162) in Ohio, a fair self-pay price is around $264, with hospitals ranging from $200 to $367 across 103 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 Ohio?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Ohio is around $264, with hospital prices ranging from $200 to $367 across 103 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 Ohio
Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCMajor hip/knee joint replacement, inpatient, w/ MCC
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.