How much does Physical therapy evaluation, low complexity cost in richmond?
CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for richmond.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| VCU Medical Center (Richmond) lowest | Hospital | $184negotiated | 1.9× | ★★★★★ hip/knee complications 4.8% |
| Bon Secours Southside Medical Center (Petersburg) | Hospital | $256cash | 2.6× | ★★★★★ |
| Bon Secours St. Mary's Hospital (Richmond) | Hospital | $304cash | 3.1× | ★★★★★ hip/knee complications 2.8% |
| Bon Secours St. Francis Medical Center (Midlothian) | Hospital | $304cash | 3.1× | ★★★★★ hip/knee complications 4.0% |
| Bon Secours Memorial Regional Medical Center (Mechanicsville) | Hospital | $304cash | 3.1× | ★★★★★ hip/knee complications 3.8% |
| TriCities Hospital, formerly John Randolph Medical Center (Hopewell) | Hospital | $914cash | 9.3× | ★★★★★ |
| Johnston-Willis Hospital, CJW Medical Center (Richmond) | Hospital | $914cash | 9.3× | ★★★★★ hip/knee complications 3.4% |
| Retreat Doctors' Hospital (Richmond) | Hospital | $914cash | 9.3× | ★★★★★ hip/knee complications 3.3% |
| Chippenham Hospital, CJW Medical Center (Richmond) | Hospital | $914cash | 9.3× | ★★★★★ hip/knee complications 3.4% |
| Henrico Doctors' Hospital, Forest campus (Richmond) | Hospital | $914cash | 9.3× | ★★★★★ hip/knee complications 3.3% |
| Parham Doctors' Hospital — ortho/spine-focused campus (Richmond) | Hospital | $914cash | 9.3× | ★★★★★ hip/knee complications 3.3% |
What should 97161 cost in richmond?
For Physical therapy evaluation, low complexity (CPT 97161) in richmond, a fair self-pay price is around $914, with hospitals ranging from $304 to $914 across 11 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 richmond?
A fair self-pay price for Physical therapy evaluation, low complexity (CPT 97161) in richmond is around $914, with hospital prices ranging from $304 to $914 across 11 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 richmond
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.