How much does Physical therapy evaluation, moderate complexity cost in richmond?

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

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
$997
11 facilities ยท typical range $184 โ€“ $997 ยท 10.2ร— Medicare PFS
What Medicare paysโ“˜
$98
Market typical
$997
Cash / self-pay price
$997
Prices near you โ€” 11 facilities, lowest first
FacilityTypePricevs MedicareQuality
Bon Secours St. Francis Medical Center (Midlothian) lowest Hospital $106cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.0%
Bon Secours St. Mary's Hospital (Richmond) Hospital $106cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 2.8%
VCU Medical Center (Richmond) Hospital $184negotiated 1.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.8%
Bon Secours Southside Medical Center (Petersburg) Hospital $256cash 2.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Bon Secours Memorial Regional Medical Center (Mechanicsville) Hospital $366cash 3.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Chippenham Hospital, CJW Medical Center (Richmond) Hospital $997cash 10.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
Parham Doctors' Hospital โ€” ortho/spine-focused campus (Richmond) Hospital $997cash 10.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Retreat Doctors' Hospital (Richmond) Hospital $997cash 10.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Henrico Doctors' Hospital, Forest campus (Richmond) Hospital $997cash 10.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Johnston-Willis Hospital, CJW Medical Center (Richmond) Hospital $997cash 10.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
TriCities Hospital, formerly John Randolph Medical Center (Hopewell) Hospital $997cash 10.2ร— 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 richmond?

For Physical therapy evaluation, moderate complexity (CPT 97162) in richmond, a fair self-pay price is around $997, with hospitals ranging from $184 to $997 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, moderate complexity cost in richmond?

A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in richmond is around $997, with hospital prices ranging from $184 to $997 across 11 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.

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 โ€” 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 โ€” not a guarantee.