How much does physical therapy evaluation, moderate complexity cost in orlando?

CPT 97162 โ€” the fair price, every hospital's price, and the Medicare benchmark for orlando.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
97162 Physical therapy evaluation, moderate complexity
Market typical price
$959
8 facilities ยท typical range $414 โ€“ $1,210 ยท 9.8ร— Medicare PFS
What Medicare pays
$98
Market typical
$959
Cash / self-pay price
$959
Prices near you โ€” 8 facilities, lowest first
FacilityTypePricevs MedicareQuality
Orlando Health Orlando Regional Medical Center (incl. Jewett Orthopedic Institute) lowest Hospital $212cash 2.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.0%
AdventHealth Daytona Beach Hospital $384cash 3.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.7%
Halifax Health Medical Center (Daytona Beach) Hospital $504cash 5.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.7%
AdventHealth Orlando (incl. Altamonte Springs, Celebration, Winter Park, East Orlando, Apopka, Kissimmee campuses โ€“ one CCN/MRF) Hospital $823cash 8.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
HCA Florida Oviedo Medical Center Hospital $1,095cash 11.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.1%
HCA Florida Lake Monroe Hospital (Sanford) Hospital $1,189cash 12.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.4%
HCA Florida UCF Lake Nona Hospital (Orlando) Hospital $1,218cash 12.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
HCA Florida Osceola Hospital (Kissimmee) Hospital $1,443cash 14.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
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, moderate complexity prices in another area

What should 97162 cost in orlando?

For physical therapy evaluation, moderate complexity (CPT 97162) in orlando, a fair self-pay price is around $959, with hospitals ranging from $414 to $1,210 across 8 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 orlando?

A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in orlando is around $959, with hospital prices ranging from $414 to $1,210 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 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, 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 orlando

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.