How much does physical therapy evaluation, moderate complexity cost in Toledo, OH?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Toledo, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Blanchard Valley Hospital (Findlay) lowest | Hospital | $180cash | 1.8× | ★★★★★ hip/knee complications 7.2% |
| University Of Toledo Medical Center (Toledo) | Hospital | $280cash | 2.9× | ★★★★★ hip/knee complications 5.0% |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $286cash | 2.9× | ★★★★★ |
| Memorial Hospital (Fremont) | Hospital | $308cash | 3.1× | ★★★★★ |
| Mercy St Vincent Medical Center (Toledo) | Hospital | $310cash | 3.2× | ★★★★★ hip/knee complications 4.7% |
| Wood County Hospital (Bowling Green) | Hospital | $327cash | 3.3× | ★★★★★ hip/knee complications 4.5% |
| Bay Park Community Hospital (Oregon) | Hospital | $367cash | 3.7× | ★★★★★ |
| Promedica Toledo Hospital (Toledo) | Hospital | $367cash | 3.7× | ★★★★★ hip/knee complications 5.4% |
What should 97162 cost in Toledo, OH?
For physical therapy evaluation, moderate complexity (CPT 97162) in Toledo, OH, a fair self-pay price is around $309, with hospitals ranging from $282 to $357 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 Toledo, OH?
A fair self-pay price for physical therapy evaluation, moderate complexity (CPT 97162) in Toledo, OH is around $309, with hospital prices ranging from $282 to $357 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 — 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 Toledo, OH
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.