Evaluation for Physical Therapy, Typically 20 Minutes Cost in California
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 184 California hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — California
Sorted by cash price (lowest first). Showing top 60 of 184 hospitals.
| Hospital | Cash | Health Net | Aetna | BCBS | Kaiser | UHC | MultiPlan | Cigna | Humana |
|---|---|---|---|---|---|---|---|---|---|
| UCSF BENIOFF CHILDREN'S HOSPITAL SAN FRANCISCO SAN FRANCISCO |
$6.60 | — | — | $152 | — | $146 | — | — | — |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL - MOUNT ZION 7TH FLOOR |
$6.60 | — | — | $152 | — | $146 | — | — | — |
| COLORADO RIVER MEDICAL CENTER NEEDLES |
$17.50 | — | — | — | — | — | — | — | — |
| EISENHOWER MEDICAL CENTER RANCHO MIRAGE |
$50.95 | — | — | — | — | — | — | — | — |
| SCRIPPS MERCY HOSPITAL CHULA VISTA CHULA VISTA |
$54.72 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL ENCINITAS ENCINITAS |
$54.72 | — | — | — | — | — | — | — | — |
| SCRIPPS MERCY HOSPITAL SAN DIEGO |
$54.72 | — | — | — | — | — | — | — | — |
| SCRIPPS GREEN HOSPITAL LA JOLLA |
$54.72 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA LA JOLLA |
$54.72 | — | — | — | — | — | — | — | — |
| GOOD SAMARITAN HOSPITAL MISSION OAKS LOS GATOS |
$79.21 | $18.46 | $109 | $111 | — | $20.20 | $51.49 | $63.37 | $55.45 |
| OROVILLE HOSPITAL OROVILLE |
$83.00 | $132 | $107 | $160 | — | $107 | $132 | $132 | — |
| PROVIDENCE ST. JOSEPH HOSPITAL - ORANGE ORANGE |
$84.00 | $198 | $107 | — | — | — | — | — | — |
| STANFORD HEALTH CARE TRI-VALLEY LIVERMORE LIVERMORE |
$84.00 | — | — | $294 | — | — | — | — | — |
| ENLOE MEDICAL CENTER ESPLANADE CHICO |
$87.75 | — | — | — | — | — | — | — | — |
| SAN JOAQUIN VALLEY REHABILITATION HOSPITAL FRESNO |
$89.00 | $89.00 | — | — | $89.00 | $89.00 | — | — | — |
| VIBRA HOSPITAL OF NORTHERN CALIFORNIA REDDING |
$89.00 | — | — | — | — | $89.00 | — | — | — |
| VIBRA HOSPITAL OF SACRAMENTO FOLSOM |
$89.00 | — | — | — | $89.00 | — | — | — | — |
| SHASTA REGIONAL MEDICAL CENTER REDDING |
$91.00 | $91.96 | $118 | $91.96 | — | — | — | — | — |
| JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS WALNUT CREEK |
$99.45 | — | — | — | — | — | — | — | — |
| TOTALLY KIDS REHABILITATION CENTER LOMA LINDA |
$100 | — | — | — | — | — | — | — | — |
| BALLARD REHABILITATION HOSPITAL SAN BERNARDINO |
$102 | $102 | — | $77.00 | $102 | $102 | — | — | — |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA |
$103 | $119 | $121 | — | — | — | — | — | — |
| MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR |
$103 | $103 | — | — | — | — | — | — | — |
| CHINO VALLEY MEDICAL CENTER CHINO |
$103 | $103 | $132 | $103 | — | — | — | — | — |
| DESERT VALLEY HOSPITAL VICTORVILLE |
$103 | $103 | $103 | $102 | — | $103 | — | — | — |
| LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA |
$108 | $108 | $138 | $108 | — | — | — | — | — |
| SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS |
$108 | $108 | $138 | $108 | — | $108 | — | — | — |
| PARADISE VALLEY HOSPITAL NATIONAL CITY |
$108 | $108 | $138 | $108 | — | $108 | — | — | — |
| GARDEN GROVE HOSPITAL AND MEDICAL CENTER GARDEN GROVE |
$108 | $108 | $138 | $108 | — | — | — | — | — |
| CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD |
$108 | $108 | $138 | $108 | — | — | $143 | — | — |
| ST. FRANCIS MEDICAL CENTER LYNWOOD |
$108 | $108 | $162 | $108 | $108 | $108 | $138 | — | — |
| HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH |
$108 | $108 | — | $108 | — | — | — | — | — |
| WEST ANAHEIM MEDICAL CENTER ANAHEIM |
$108 | $108 | $138 | $108 | — | — | — | — | — |
| ENCINO HOSPITAL MEDICAL CENTER ENCINO |
$108 | $108 | $138 | $108 | — | — | $138 | — | — |
| SHERMAN OAKS HOSPITAL SHERMAN OAKS |
$108 | $108 | $109 | $108 | — | — | $109 | — | — |
| ANAHEIM COMMUNITY HOSPITAL ANAHEIM |
$115 | — | — | — | — | — | — | — | — |
| CORONA REGIONAL MEDICAL CENTER CORONA |
$117 | — | $87.31 | — | $94.93 | $146 | $264 | $105 | — |
| SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL TEMECULA |
$117 | — | $87.31 | — | $87.02 | — | $264 | $105 | — |
| PROVIDENCE MISSION HOSPITAL LAGUNA BEACH LAGUNA BEACH |
$120 | $198 | $107 | — | — | — | — | — | — |
| EL CAMINO HOSPITAL LOS GATOS LOS GATOS |
$121 | — | — | — | — | — | — | — | — |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL LOS ANGELES |
$128 | $122 | — | $277 | — | $289 | $540 | — | — |
| BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR LAKE |
$133 | $133 | — | $129 | — | $162 | — | — | — |
| MARSHALL MEDICAL CENTER PLACERVILLE |
$135 | — | — | — | — | — | — | — | — |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OAKLAND |
$139 | — | — | — | — | $121 | — | — | — |
| SAN GORGONIO MEMORIAL HOSPITAL BANNING |
$139 | $103 | $53.40 | $15.30 | $103 | $75.00 | — | $165 | — |
| GOOD SAMARITAN HOSPITAL-BAKERSFIELD BAKERSFIELD |
$140 | $103 | $60.00 | $50.00 | — | $80.00 | — | — | — |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL FORTUNA |
$146 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER ORANGE |
$147 | $109 | $107 | $112 | $123 | — | — | — | — |
| UCI HEALTH - FOUNTAIN VALLEY FOUNTAIN VALLEY |
$147 | $109 | $107 | $112 | $123 | — | — | — | — |
| UCI HEALTH - PLACENTIA LINDA PLACENTIA |
$147 | $109 | $107 | $112 | $123 | — | — | — | — |
| UCI HEALTH - LOS ALAMITOS LOS ALAMITOS |
$147 | $109 | $107 | $112 | $123 | — | — | — | — |
| PROVIDENCE ST. JOSEPH HOSPITAL EUREKA EUREKA |
$147 | — | $121 | — | — | — | — | — | — |
| PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER TARZANA |
$148 | $198 | $107 | — | — | — | — | — | $109 |
| KAWEAH HEALTH MEDICAL CENTER W MINERAL KING AVE VISALIA |
$150 | $89.20 | $60.60 | $100 | — | $100 | — | $75.00 | $75.00 |
| RIDGECREST REGIONAL HOSPITAL RIDGECREST |
$158 | — | $85.00 | — | — | $82.50 | — | $72.00 | — |
| EAST CAMPUS MEDICAL CENTER AT UC SAN DIEGO HEALTH SAN DIEGO |
$162 | $35.40 | $35.40 | $29.50 | $198 | $35.40 | $227 | $35.40 | $35.40 |
| USC ARCADIA HOSPITAL W HUNTINGTON DRIVE ARCADIA |
$173 | $53.13 | $100 | $18.55 | $100 | $100 | $63.00 | $54.40 | $100 |
| TRI-CITY MEDICAL CENTER OCEANSIDE |
$182 | $59.50 | $110 | $64.40 | $110 | $110 | $70.00 | $74.00 | — |
| JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS CONCORD |
$184 | — | — | — | — | — | — | — | — |
| MARINHEALTH MEDICAL CENTER GREENBRAE |
$190 | $121 | $50.00 | $720 | $68.00 | $37.86 | $82.00 | $80.00 | $90.00 |
That is the median of what the 184 California hospitals above publish for Evaluation for physical therapy, typically 20 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97161 in California, Medicare reimburses about $108 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in California range from $6.60 to $1,696 — that means hospital cash prices are typically 2.3x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation for physical therapy, typically 20 minutes cost in California?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in California range from $6.60 to $1,696, with a median of $244. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in California?
- The cheapest California hospital published cash price for this procedure is $6.60. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.