How much does Physical therapy evaluation, moderate complexity cost in southwest-virginia?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for southwest-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Wythe County Community Hospital (Wytheville) lowest | Hospital | $75cash | 0.8× | ★★★★★ |
| Ballad Health Russell County Hospital (Lebanon) | Hospital | $78cash | 0.8× | ★★★★★ |
| Ballad Health Smyth County Community Hospital (Marion) | Hospital | $78cash | 0.8× | ★★★★★ hip/knee complications 4.4% |
| Ballad Health Lonesome Pine Hospital (Big Stone Gap) | Hospital | $78cash | 0.8× | ★★★★★ |
| Ballad Health Johnston Memorial Hospital (Abingdon) | Hospital | $78cash | 0.8× | ★★★★★ hip/knee complications 6.2% |
| Twin County Regional Hospital (Galax) | Hospital | $182cash | 1.9× | ★★★★★ |
| Sentara Halifax Regional Hospital (South Boston) | Hospital | $269cash | 2.7× | ★★★★★ |
| Sovah Health Martinsville (Martinsville) | Hospital | $294cash | 3.0× | — |
| Sovah Health Danville (Danville) | Hospital | $294cash | 3.0× | ★★★★★ hip/knee complications 4.4% |
| Clinch Valley Medical Center (Richlands) | Hospital | $483cash | 4.9× | ★★★★★ |
What should 97162 cost in southwest-virginia?
For Physical therapy evaluation, moderate complexity (CPT 97162) in southwest-virginia, a fair self-pay price is around $130, with hospitals ranging from $78 to $294 across 10 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 southwest-virginia?
A fair self-pay price for Physical therapy evaluation, moderate complexity (CPT 97162) in southwest-virginia is around $130, with hospital prices ranging from $78 to $294 across 10 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.
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 southwest-virginia
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.