CPT 97161Physical Therapy & Rehab14 Bay Area Hospitals Compared
Physical Therapy Initial Evaluation (Low Complexity)
First-visit physical therapy diagnostic evaluation where a licensed physical therapist assesses range of motion, strength, movement patterns, and builds a treatment plan.
Official CPT Description: Physical therapy evaluation: low complexity, requiring history, examination, and clinical decision making (typically 20 minutes face-to-face)
Bay Area Cash Price Spread
$84 – $495
5.9x variation across Bay Area hospitals
2026 Medicare Hospital Rate:$121.46
2026 Medicare Office Rate:$103.5
All-In Negotiated Range:$84 – $644
Tier 1: General Prices(Cash / Medicare / Negotiated Range)Tier 2: Your Price (Payer-Adjusted for Your Plan)
Accuracy Level — General Prices: You are currently viewing general published hospital cash prices, Medicare baselines, and wide multi-payer ranges. Add your insurance card to see YOUR price for your specific payer and plan.
Side-by-Side Hospital Price Comparison — Physical Therapy Initial Evaluation (Low Complexity) (CPT 97161)
Showing 14 Bay Area hospitals • CMS Medicare OPPS Facility Baseline: $121.46 (Non-Facility Office Rate: $103.5)
| Hospital / Facility | Discounted Cash Price | CMS Medicare Baseline | Negotiated Insurance Range | Published MRF Source & Date |
|---|---|---|---|---|
| Stanford Health Care Tri-Valley (Pleasanton & Livermore) 5555 W Las Positas Blvd, Pleasanton, CA 94588 (Alameda County) MRF Item: Pt Eval Low Complex 20 Min | $84.00 Gross Chargemaster: $583 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $294 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| El Camino Health (Mountain View & Los Gatos Campuses) 2500 Grant Rd, Mountain View, CA 94040 (Santa Clara County) MRF Item: HC PT EVAL LOW COMPLEXITY 20 MINS | $121 Gross Chargemaster: $484 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | Contracted via percentage/APC algorithm (see cash & Medicare baseline) | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| UCSF Medical Center (Parnassus, Mission Bay & Mt. Zion) 505 Parnassus Ave, San Francisco, CA 94143 (San Francisco County) MRF Item: Hc Physical Therapy Eval Low Complex | $170 Gross Chargemaster: $566 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 – $243 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Washington Hospital Healthcare System 2000 Mowry Ave, Fremont, CA 94538 (Alameda County) MRF Item: Evaluation for physical therapy, typically 20 minutes | $419 Gross Chargemaster: $644 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $118 – $644 Across 10 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-07-24 |
| Stanford Health Care (Palo Alto Hospital) 300 Pasteur Dr, Stanford, CA 94305 (Santa Clara County) MRF Item: Pt Eval Low Complex 20 Min | $489 Gross Chargemaster: $1,223 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — CPMC Van Ness Campus 1101 Van Ness Ave, San Francisco, CA 94109 (San Francisco County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | Contracted via percentage/APC algorithm (see cash & Medicare baseline) | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Alta Bates Summit Medical Center (Berkeley) 2450 Ashby Ave, Berkeley, CA 94705 (Alameda County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Alta Bates Summit Medical Center (Oakland) 350 Hawthorne Ave, Oakland, CA 94609 (Alameda County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Eden Medical Center 20103 Lake Chabot Rd, Castro Valley, CA 94546 (Alameda County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | Contracted via percentage/APC algorithm (see cash & Medicare baseline) | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame, CA 94010 (San Mateo County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Sutter Delta Medical Center 3901 Lone Tree Way, Antioch, CA 94509 (Contra Costa County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Novato Community Hospital 180 Rowland Way, Novato, CA 94945 (Marin County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | Contracted via percentage/APC algorithm (see cash & Medicare baseline) | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa, CA 95403 (Sonoma County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | $121 Across 1 payer networks | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
| Sutter Health — Sutter Solano Medical Center 300 Hospital Dr, Vallejo, CA 94589 (Solano County) MRF Item: HCHG PT EVAL LOW COMPLEXITY | $495 Gross Chargemaster: $495 Self-pay / uninsured rate | $121.46 Hospital Outpatient (OPPS) Office / Non-Facility: $103.5 | Contracted via percentage/APC algorithm (see cash & Medicare baseline) | CMS 45 CFR § 180.50 Hospital MRF (v3.0.0) File Date: 2026-04-01 |
How to use these numbers: Published hospital rates are estimates of what care costs under federal Hospital Price Transparency rules (45 CFR § 180.50), not binding quotes. Always confirm the exact CPT code (97161) and whether facility + professional (radiologist/pathologist/anesthesia) fees are billed separately.
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