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

CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Arizona.

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
$187
51 facilities · typical range $118 – $678 · 1.9× Medicare PFS
What Medicare pays
$98
Market typical
$187
Cash / self-pay price
$172
Prices near you — 51 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner Payson Medical Center (Payson) lowest Hospital $41cash 0.4× —
Banner University Medical Center South (Tucson) Hospital $63cash 0.6× —
Banner University Medical Center Tucson Hospital $83cash 0.8× —
Banner Heart Hospital (Mesa) Hospital $88cash 0.9× ★★★★★
Canyon Vista Medical Center (Sierra Vista) Hospital $97negotiated 1.0×
hip/knee complications 4.1%
Banner – University Medical Center Phoenix Hospital $97cash 1.0× ★★★★★
Banner Desert Medical Center (Mesa) Hospital $99cash 1.0× ★★★★★
hip/knee complications 4.6%
Banner Estrella Medical Center (Phoenix) Hospital $106cash 1.1× ★★★★★
Banner Thunderbird Medical Center (Glendale) Hospital $108cash 1.1× ★★★★★
Tucson Medical Center Hospital $112cash 1.1×
hip/knee complications 4.2%
Banner Del E. Webb Medical Center (Sun City West) Hospital $113cash 1.2× ★★★★★
hip/knee complications 4.9%
Northwest Medical Center (Tucson) Hospital $117cash 1.2×
hip/knee complications 3.8%
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.
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What should 97162 cost in Arizona?

For physical therapy evaluation, moderate complexity (CPT 97162) in Arizona, a fair self-pay price is around $187, with hospitals ranging from $118 to $678 across 51 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 Arizona?

A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Arizona is around $187, with hospital prices ranging from $118 to $678 across 51 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 Arizona

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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.