Physical therapy evaluation Cost by Hospital

Physical therapy evaluation is a therapy or rehabilitation service. Prices are from 2410 US hospitals across 52 states, from their machine-readable files.

$233median cash price · 2410 hospitals, 52 statestypically $100–$575 depending on the hospital
≈ 2.4× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$387
Cash / self-pay
$233
Insurer-negotiated
$162
Medicare pays
$98
$100$575
Median cash $233  ·  Medicare $98  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $233 — 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 $387 list price could save about $155 (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 — — 121 min —
Banner Payson Medical Center Payson, AZ $35 $89 ★ 4/5 142 min —
University of Ks Hlth System Great Bend Campus Great Bend, KS $37 $101 ★ 4/5 107 min —
Lakeland Regional Medical Center Lakeland, FL $41 $1,150 ★ 1/5 155 min —
Advocate Trinity Hospital Chicago, IL $41 $222 ★ 2/5 247 min —
Winn Parish Medical Center Winnfield, LA $42 $93 — 100 min —
Banner-University Medical Center South Campus Tucson, AZ $42 $130 ★ 4/5 260 min —
Medical Center Barbour Eufaula, AL $42 $91 — 157 min —
Ochsner LSU Health Monroe Monroe, LA $42 $92 ★ 3/5 152 min —
East Jefferson General Hospital Metairie, LA $44 $74 ★ 2/5 157 min —
Bayamon Medical Center Bayamon, PR $44 $20 — 279 min —
Seton Medical Center Harker Heights Harker Heights, TX $46 $179 ★ 4/5 174 min —
Ochsner St Mary Morgan City, LA $47 $95 ★ 2/5 89 min —
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $47 $95 ★ 2/5 — —
Clinch Memorial Hospital Homerville, GA $48 $94 — 94 min —
Slidell Memorial Hospital Slidell, LA $49 $92 ★ 2/5 203 min —
King's Daughters Medical Center-Brookhaven Brookhaven, MS $49 $123 ★ 3/5 140 min —
Clarke County Hospital Osceola, IA $50 $65 ★ 5/5 104 min —
Virtua Our Lady of Lourdes Hospital Camden, NJ $50 — ★ 2/5 168 min —
Virtua Willingboro Hospital Willingboro, NJ $50 — ★ 3/5 178 min —
Bsa Hospital Amarillo, TX $50 $317 ★ 2/5 215 min —
Saint Vincent Hospital Erie, PA $51 $97 ★ 4/5 219 min —
Eisenhower Medical Center Rancho Mirage, CA $51 $103 ★ 4/5 259 min —
Hamilton Medical Center Dalton, GA $52 — ★ 3/5 181 min —
Tanner Medical Center-East Alabama Wedowee, AL $52 $65 — 96 min —

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 October 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: $233; Medicare pays $98.

InsurerHospitalsNegotiated median
Univera 11
$84
$83 – $111
Medicaid 324
$89
$59 – $171
Tricare / VA 413
$91
$84 – $282
Independent Health 47
$91
$59 – $172
Highmark 124
$96
$82 – $325
Medicare 548
$97
$85 – $170
Devoted Health 214
$97
$84 – $188
Amerigroup 163
$98
$45 – $383
Humana 1002
$101
$82 – $374
Centene / Ambetter 772
$101
$56 – $197
Molina Healthcare 542
$102
$60 – $205
AmeriHealth 244
$109
$59 – $443
Priority Health 56
$111
$66 – $328
Bright Health 49
$117
$89 – $222
UCare 70
$143
$81 – $282
Oscar Health 233
$153
$93 – $273
Security Health Plan 59
$155
$95 – $299
Anthem 561
$156
$63 – $415
UnitedHealthcare 1549
$162
$84 – $404
UPMC Health Plan 81
$168
$94 – $451
MVP Health Care 84
$172
$87 – $407
Aetna 1426
$180
$87 – $396
SelectHealth 46
$185
$94 – $373
Sanford Health Plan 69
$188
$97 – $315
Blue Cross Blue Shield 1291
$196
$91 – $470
Geisinger 62
$198
$85 – $470
HealthPartners 263
$201
$91 – $350
Medica 252
$204
$98 – $333
EmblemHealth 71
$222
$109 – $340
Healthcare Highways 40
$224
$125 – $393
Cigna 1176
$225
$96 – $506
AvMed 62
$226
$98 – $498
Kaiser Permanente 160
$242
$98 – $1,002
Health Net 282
$248
$103 – $648
Workers' Comp / No-Fault 155
$254
$80 – $593
Coventry 154
$257
$93 – $458
Harvard Pilgrim 51
$276
$128 – $381
MultiPlan / PHCS network 870
$331
$157 – $605

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
Alabama$111
Arizona$113
Tennessee$115
Mississippi$118
Rhode Island$123
Oklahoma$124

Prices by city

Chicago, ILPhiladelphia, PABaltimore, MDAustin, TXDallas, 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 CarolinaMichiganLouisianaTennesseeGeorgiaIowaMissouriColoradoNebraskaOklahomaKansasNew JerseyVirginiaIndianaSouth DakotaArkansasKentuckyMarylandArizonaWashingtonMississippiMassachusettsWest VirginiaMaineAlabamaSouth CarolinaMontanaOregonNorth DakotaIdahoConnecticutNew MexicoNew HampshireUtahNevadaHawaiiWyomingPuerto 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 2410 US hospitals across 52 states, the typical (median) cash price is $233, versus a chargemaster (list) price around $387, a median insurer-negotiated rate of $162, a Medicare rate of about $98. Most cash prices fall between $100 and $575 — 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 2410 US hospitals is $233. Most hospitals fall between $100 and $575. 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.

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