How much does Physical therapy evaluation, low complexity cost in orlando?
CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for orlando.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Orlando Health Orlando Regional Medical Center (incl. Jewett Orthopedic Institute) lowest | Hospital | $212cash | 2.2× | ★★★★★ hip/knee complications 3.0% |
| AdventHealth Daytona Beach | Hospital | $384cash | 3.9× | ★★★★★ hip/knee complications 4.7% |
| Halifax Health Medical Center (Daytona Beach) | Hospital | $508cash | 5.2× | ★★★★★ hip/knee complications 4.7% |
| AdventHealth Orlando (incl. Altamonte Springs, Celebration, Winter Park, East Orlando, Apopka, Kissimmee campuses – one CCN/MRF) | Hospital | $719cash | 7.3× | ★★★★★ hip/knee complications 3.5% |
| HCA Florida Oviedo Medical Center | Hospital | $729cash | 7.4× | ★★★★★ hip/knee complications 3.1% |
| HCA Florida Lake Monroe Hospital (Sanford) | Hospital | $793cash | 8.1× | ★★★★★ hip/knee complications 4.4% |
| HCA Florida UCF Lake Nona Hospital (Orlando) | Hospital | $1,015cash | 10.4× | ★★★★★ |
| HCA Florida Osceola Hospital (Kissimmee) | Hospital | $1,203cash | 12.3× | ★★★★★ |
What should 97161 cost in orlando?
For Physical therapy evaluation, low complexity (CPT 97161) in orlando, a fair self-pay price is around $724, with hospitals ranging from $415 to $960 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 orlando?
A fair self-pay price for Physical therapy evaluation, low complexity (CPT 97161) in orlando is around $724, with hospital prices ranging from $415 to $960 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 — 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.
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 orlando
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.