How much does Physical therapy evaluation, low complexity cost in Tucson, AZ?
CPT 97161 — the fair price, every hospital's price, and the Medicare benchmark for Tucson, AZ.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Banner University Medical Center South (Tucson) lowest | Hospital | $40cash | 0.4× | — |
| Banner University Medical Center Tucson | Hospital | $52cash | 0.5× | — |
| Tucson Medical Center | Hospital | $112cash | 1.1× | hip/knee complications 4.2% |
| Northwest Medical Center (Tucson) | Hospital | $120cash | 1.2× | hip/knee complications 3.8% |
| Northwest Medical Center Houghton (Tucson) | Hospital | $129cash | 1.3× | — |
| Oro Valley Hospital (Oro Valley) | Hospital | $139cash | 1.4× | hip/knee complications 5.3% |
| Carondelet St. Mary's Hospital (Tucson) | Hospital | $607cash | 6.2× | hip/knee complications 4.5% |
| Carondelet St. Joseph's Hospital (Tucson) | Hospital | $607cash | 6.2× | hip/knee complications 4.1% |
| Carondelet Holy Cross Hospital (Nogales) | Hospital | $607cash | 6.2× | — |
What should 97161 cost in Tucson, AZ?
For Physical therapy evaluation, low complexity (CPT 97161) in Tucson, AZ, a fair self-pay price is around $129, with hospitals ranging from $82 to $607 across 9 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 Tucson, AZ?
A fair self-pay price for Physical therapy evaluation, low complexity (CPT 97161) in Tucson, AZ is around $129, with hospital prices ranging from $82 to $607 across 9 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 Tucson, AZ
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.