Physical therapy evaluation Cost by Hospital

Physical therapy evaluation is a therapy or rehabilitation service. Prices are from 2395 US hospitals across 52 states, from their machine-readable files.

$230median cash price · 2395 hospitals, 52 statestypically $99–$572 depending on the hospital
≈ 2.4× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$384
Cash / self-pay
$230
Insurer-negotiated
$163
Medicare pays
$98
$99$572
Median cash $230  ·  Medicare $98  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $230 — about 2.4× the Medicare rate ($98). On the higher side. A fair cash price is usually within ~2× Medicare ($196).

💡 Asking for the cash price instead of the $384 list price could save about $154 (40%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Colorado River Medical Center Needles, CA $35 — — 128 min 15.0%
Banner Payson Medical Center Payson, AZ $35 $89 ★ 4/5 143 min 14.4%
University of Ks Hlth System Great Bend Campus Great Bend, KS $37 $101 ★ 4/5 107 min 14.5%
Lakeland Regional Medical Center Lakeland, FL $41 $1,150 ★ 1/5 162 min 16.7%
Advocate Trinity Hospital Chicago, IL $41 $222 ★ 2/5 244 min 16.0%
Winn Parish Medical Center Winnfield, LA $42 $93 — 100 min 14.5%
Banner-University Medical Center South Campus Tucson, AZ $42 $130 ★ 4/5 275 min 14.5%
Medical Center Barbour Eufaula, AL $42 $91 — 170 min —
Ochsner LSU Health Monroe Monroe, LA $42 $92 ★ 3/5 155 min 15.2%
East Jefferson General Hospital Metairie, LA $44 $74 ★ 2/5 162 min 15.3%
Bayamon Medical Center Bayamon, PR $44 $20 — 285 min 15.8%
Seton Medical Center Harker Heights Harker Heights, TX $46 $179 ★ 4/5 174 min 16.3%
Ochsner St Mary Morgan City, LA $47 $95 ★ 2/5 81 min 15.4%
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $47 $95 ★ 2/5 — —
Clinch Memorial Hospital Homerville, GA $48 $94 — 93 min —
Slidell Memorial Hospital Slidell, LA $49 $92 ★ 2/5 203 min 16.0%
King's Daughters Medical Center-Brookhaven Brookhaven, MS $49 $123 ★ 3/5 136 min 15.3%
Clarke County Hospital Osceola, IA $50 $65 ★ 5/5 104 min 14.8%
Virtua Our Lady of Lourdes Hospital Camden, NJ $50 — ★ 2/5 161 min 15.4%
Virtua Willingboro Hospital Willingboro, NJ $50 — ★ 3/5 181 min 14.8%
Bsa Hospital Amarillo, TX $50 $317 ★ 2/5 217 min 14.8%
Saint Vincent Hospital Erie, PA $51 $97 ★ 4/5 212 min 14.7%
Eisenhower Medical Center Rancho Mirage, CA $51 $103 ★ 4/5 259 min 14.8%
Hamilton Medical Center Dalton, GA $52 — ★ 3/5 187 min 15.3%
Tanner Medical Center-East Alabama Wedowee, AL $52 $65 — 94 min 14.6%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Physical therapy evaluation

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $230; Medicare pays $98.

InsurerHospitalsNegotiated median
Univera 11
$84
$83 – $111
Medicaid 320
$89
$59 – $172
Tricare / VA 409
$91
$84 – $281
Independent Health 47
$91
$59 – $172
Highmark 120
$96
$84 – $324
Devoted Health 212
$96
$84 – $188
Medicare 542
$97
$85 – $170
Amerigroup 162
$98
$45 – $383
Centene / Ambetter 748
$100
$56 – $195
Humana 992
$101
$82 – $374
Molina Healthcare 537
$102
$59 – $205
AmeriHealth 242
$109
$59 – $444
Priority Health 57
$111
$66 – $328
Bright Health 49
$117
$89 – $222
UCare 69
$143
$81 – $282
Anthem 545
$149
$62 – $415
Oscar Health 220
$151
$92 – $277
Security Health Plan 59
$155
$95 – $299
UnitedHealthcare 1522
$160
$84 – $404
MVP Health Care 83
$162
$87 – $407
UPMC Health Plan 80
$170
$94 – $451
Aetna 1403
$180
$87 – $396
SelectHealth 46
$185
$94 – $373
Sanford Health Plan 67
$188
$97 – $315
Blue Cross Blue Shield 1280
$196
$91 – $474
Geisinger 61
$198
$85 – $470
HealthPartners 262
$200
$91 – $350
Medica 249
$203
$98 – $332
AvMed 60
$215
$95 – $498
Healthcare Highways 40
$224
$125 – $393
Cigna 1158
$225
$96 – $504
EmblemHealth 58
$230
$109 – $352
Kaiser Permanente 159
$242
$98 – $1,002
Health Net 281
$249
$103 – $650
Workers' Comp / No-Fault 154
$256
$80 – $596
Coventry 150
$260
$93 – $463
Harvard Pilgrim 51
$276
$129 – $381
MultiPlan / PHCS network 855
$329
$156 – $601

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Puerto Rico$96
Alabama$111
Arizona$113
Tennessee$115
Mississippi$115
Rhode Island$123

Prices by city

Chicago, ILPhiladelphia, PABaltimore, MDDallas, TXAustin, TXHouston, TXCincinnati, OHNew York, NYBrooklyn, NYKansas City, MOOklahoma City, OKSan Antonio, TXBaton Rouge, LABronx, NYCharlotte, NCCleveland, OHFort Worth, TXMilwaukee, WINashville, TNOmaha, NESacramento, CASaint Louis, MOAlbuquerque, NMBirmingham, AL

Prices by state

TexasCaliforniaOhioFloridaPennsylvaniaWisconsinNew YorkIllinoisMinnesotaNorth CarolinaMichiganLouisianaTennesseeGeorgiaIowaMissouriColoradoNebraskaOklahomaKansasIndianaNew JerseyVirginiaArkansasSouth DakotaKentuckyMarylandArizonaWashingtonMassachusettsMississippiWest VirginiaAlabamaMaineSouth CarolinaOregonMontanaNorth DakotaIdahoConnecticutNew MexicoUtahNew HampshireNevadaHawaiiWyomingPuerto RicoVermontDelawareRhode IslandAlaskaWashington DC

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Ryan Urenda, PTPhysical Therapist in Private PracticeJupiter, FL1,487
Simon Tan, MDNeurologySouthlake, TX1,086
Patricia Freire, PTPhysical Therapist in Private PracticeSw Ranches, FL1,015
Ken Richards, PTPhysical Therapist in Private PracticeVentura, CA918
Robin Pflieger, PT, DPTPhysical Therapist in Private PracticeNeptune, NJ560
Timothy Willingham, P.T.Physical Therapist in Private PracticeTopeka, KS548
Scott Czujko, DPTPhysical Therapist in Private PracticeCutchogue, NY517
Utkarsh Patel, PTPhysical Therapist in Private PracticeLady Lake, FL509
Christopher Ott, DPTPhysical Therapist in Private PracticeEast Hampton, NY495
Matthew Fiano, PT, DPTPhysical Therapist in Private PracticeVirginia Beach, VA483
Madeline Smith, PT, DPTPhysical Therapist in Private PracticeKerrville, TX467
Larry Brimhall, PTPhysical Therapist in Private PracticeGilbert, AZ466

Browse doctors by specialty & city →

Does Medicare cover Physical therapy evaluation?

Yes — Medicare generally covers Physical therapy evaluation. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $98. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $20 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2395 US hospitals across 52 states, the typical (median) cash price is $230, versus a chargemaster (list) price around $384, a median insurer-negotiated rate of $163, a Medicare rate of about $98. Most cash prices fall between $99 and $572 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Physical therapy evaluation cost without insurance?
The median cash (self-pay) price across 2395 US hospitals is $230. Most hospitals fall between $99 and $572. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Physical therapy evaluation?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $98). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Physical therapy evaluation?
Medicare pays about $98. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Physical therapy evaluation prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Therapy & Rehab

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