Evaluation for Physical Therapy, Typically 20 Minutes Cost in Illinois
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 122 Illinois hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Illinois
Sorted by cash price (lowest first). Showing top 60 of 122 hospitals.
| Hospital | Cash | Aetna | BCBS | UHC | Cigna | Humana | MultiPlan | Molina | Centene |
|---|---|---|---|---|---|---|---|---|---|
| UW HEALTH BELVIDERE HOSPITAL E STATE ST ROCKFORD |
$35.97 | — | — | — | — | — | — | — | — |
| ADVOCATE GOOD SAMARITAN HOSPITAL DOWNERS GROVE |
$37.50 | $40.46 | $57.98 | $238 | $39.00 | — | $60.00 | $146 | $146 |
| ADVOCATE CONDELL MEDICAL CENTER LIBERTYVILLE |
$37.50 | $43.40 | $54.53 | $209 | $38.25 | — | $60.00 | $146 | $146 |
| ADVOCATE CHILDREN'S HOSPITAL - OAK LAWN OAK LAWN |
$37.50 | $40.46 | $54.08 | $238 | $39.00 | — | $60.00 | $146 | $146 |
| ADVOCATE TRINITY HOSPITAL CHICAGO |
$37.50 | $40.46 | $52.88 | $238 | $39.00 | — | $60.00 | $146 | $146 |
| ADVOCATE CHILDREN'S HOSPITAL - PARK RIDGE PARK RIDGE |
$37.50 | $40.46 | $55.13 | $238 | $39.00 | — | $60.00 | $146 | $146 |
| DEACONESS ILLINOIS UNION COUNTY ANNA |
$63.70 | $127 | $167 | $167 | $131 | $167 | $145 | $115 | $138 |
| DEACONESS ILLINOIS CROSSROADS MOUNT VERNON |
$63.70 | $94.38 | $94.38 | $36.40 | $70.80 | $94.38 | $478 | $95.32 | $94.38 |
| RED BUD REGIONAL HOSPITAL RED BUD |
$63.70 | $84.69 | $121 | $84.69 | $95.55 | $84.69 | $109 | $84.69 | $84.69 |
| DEACONESS ILLINOIS MEDICAL CENTER MARION |
$63.70 | $93.69 | $93.69 | $93.69 | $101 | $98.37 | $145 | $94.62 | $93.69 |
| ADVOCATE SOUTH SUBURBAN HOSPITAL HAZEL CREST |
$82.50 | $89.02 | $161 | $238 | $85.80 | — | $132 | $146 | $146 |
| ADVOCATE GOOD SHEPHERD HOSPITAL BARRINGTON |
$82.50 | $89.02 | $128 | $238 | $85.80 | — | $132 | $146 | $146 |
| ADVOCATE SHERMAN HOSPITAL ELGIN |
$82.50 | $95.49 | $94.38 | $212 | $85.80 | — | $148 | $146 | $146 |
| ADVOCATE CHRIST MEDICAL CENTER OAK LAWN |
$82.50 | $89.02 | $116 | $238 | $85.80 | — | $132 | $146 | $146 |
| ADVOCATE LUTHERAN GENERAL HOSPITAL PARK RIDGE |
$82.50 | $89.02 | $120 | $238 | $85.80 | — | $132 | $146 | $146 |
| ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CHICAGO |
$82.50 | $89.02 | $132 | $238 | $85.80 | — | $132 | $146 | $146 |
| ST ANTHONY HOSPITAL CHICAGO |
$86.10 | $98.89 | $98.89 | $98.89 | $98.89 | $98.89 | — | — | — |
| GIBSON COMMUNITY HOSPITAL GIBSON CITY |
$88.00 | $85.00 | $90.41 | — | — | — | — | — | — |
| FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD |
$90.40 | $102 | $27.66 | $77.97 | $70.06 | $27.12 | $102 | $27.12 | $27.12 |
| UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK BOLINGBROOK |
$93.75 | $98.89 | $119 | $99.88 | $102 | — | — | $148 | $160 |
| UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE LA GRANGE |
$93.75 | $98.89 | $96.81 | $99.88 | $102 | — | — | $148 | $160 |
| UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS GLENDALE HEIGHTS |
$93.75 | $98.89 | $119 | $99.88 | $102 | — | — | $148 | $160 |
| UCHICAGO MEDICINE ADVENTHEALTH HINSDALE HINSDALE |
$93.75 | $98.89 | $96.81 | $99.88 | $102 | — | — | $148 | $160 |
| SAINT MARY HOSPITAL KANKAKEE KANKAKEE |
$94.00 | $94.04 | $89.34 | $94.04 | $94.04 | $94.04 | — | $96.86 | $94.04 |
| RESURRECTION MEDICAL CENTER CHICAGO |
$98.00 | $98.89 | $93.95 | $98.89 | $98.89 | $98.89 | — | $102 | $98.89 |
| HOLY FAMILY MEDICAL CENTER DES PLAINES |
$98.00 | $98.89 | $93.95 | $98.89 | $98.89 | $98.89 | — | $102 | $98.89 |
| SAINT MARY OF NAZARETH HOSPITAL CHICAGO |
$98.00 | $98.89 | $93.95 | $98.89 | $98.89 | $98.89 | — | $102 | $98.89 |
| SAINT FRANCIS HOSPITAL EVANSTON |
$98.00 | $98.89 | $93.95 | $98.89 | $98.89 | $98.89 | — | $102 | $98.89 |
| SAINT JOSEPH HOSPITAL ELGIN |
$99.00 | $99.73 | $94.74 | $99.73 | $99.73 | $99.73 | — | $103 | $99.73 |
| MERCY MEDICAL CENTER AURORA |
$99.00 | $99.73 | $94.74 | $99.73 | $99.73 | $99.73 | — | $103 | $99.73 |
| SAINT JOSEPH MEDICAL CENTER JOLIET |
$99.00 | $99.73 | $94.74 | $99.73 | $99.73 | $99.73 | — | $103 | $99.73 |
| ILLINI COMMUNITY HOSPITAL PITTSFIELD |
$104 | $147 | $89.21 | $104 | $147 | $50.74 | — | — | — |
| UNIVERSITY OF ILLINOIS HOSPITAL SUITE 1400 |
$106 | — | — | — | — | — | — | — | — |
| RIVERSIDE HEALTHCARE KANKAKEE |
$107 | $41.00 | $35.00 | $55.80 | $42.80 | $48.00 | — | $97.80 | $98.74 |
| TOUCHETTE REGIONAL HOSPITAL BOND AVE CAHOKIA HEIGHTS |
$113 | $65.00 | $95.00 | $162 | — | $70.00 | $80.00 | — | — |
| FRANCISCAN HEALTH OLYMPIA FIELDS OLYMPIA FIELDS |
$117 | — | — | — | — | — | — | — | — |
| ASCENSION SAINT JOSEPH - CHICAGO N LAKE SHORE DR CHICAGO |
$120 | $101 | $101 | $98.56 | — | $101 | — | — | $163 |
| MCDONOUGH DISTRICT HOSPITAL E GRANT STREET MACOMB |
$134 | $94.38 | $238 | $88.03 | — | $94.38 | — | $94.38 | — |
| CGH MEDICAL CENTER STERLING |
$137 | $47.10 | — | $45.00 | $53.00 | $70.00 | $76.00 | — | — |
| JAVON BEA HOSPITAL-RIVERSIDE ROCKFORD |
$140 | $98.89 | — | — | — | — | — | — | — |
| ALTON MEMORIAL HOSPITAL ALTON |
$142 | $95.18 | $95.18 | $95.18 | $189 | $95.18 | $177 | — | — |
| MEMORIAL HOSPITAL BELLEVILLE BELLEVILLE |
$142 | $95.75 | $95.75 | $95.75 | $227 | $95.75 | $177 | — | — |
| CARLE HEALTH METHODIST HOSPITAL PEORIA |
$152 | $38.00 | $56.24 | $94.04 | $102 | $73.36 | $76.00 | $30.40 | $94.04 |
| CARLE HEALTH PEKIN HOSPITAL PEKIN |
$152 | $38.00 | $38.00 | $94.04 | $102 | $73.36 | $76.00 | $45.60 | $94.04 |
| CARLE HEALTH PROCTOR HOSPITAL PEORIA |
$152 | $38.00 | $59.28 | $94.04 | $102 | $94.04 | $76.00 | $45.60 | $94.04 |
| INSIGHT HOSPITAL & MEDICAL CENTER CHICAGO CHICAGO |
$160 | $140 | — | $100 | — | $140 | — | — | — |
| HAMILTON MEMORIAL HOSPITAL DISTRICT S MARSHALL AVE MCLEANSBOROR |
$164 | $73.08 | $69.43 | $73.08 | $143 | $73.08 | $155 | — | $73.08 |
| CITY OF HOPE CHICAGO CANCER HOSPITAL ZION |
$172 | $195 | $240 | $101 | $229 | — | — | $101 | $101 |
| JOHN H STROGER JR HOSPITAL CHICAGO |
$176 | $36.69 | $164 | $100 | $82.22 | — | — | — | — |
| UNITYPOINT TRINITY MOLINE ROCK ISLAND |
$187 | $93.23 | $93.23 | $82.70 | $146 | $97.89 | — | — | $93.23 |
| CARLE FOUNDATION HOSPITAL URBANA |
$194 | $75.56 | $94.04 | $94.04 | $151 | $73.36 | $155 | $58.20 | $94.04 |
| WEISS MEMORIAL HOSPITAL CHICAGO |
$195 | — | — | — | — | — | — | — | — |
| SHRINERS HOSPITAL FOR CHILDREN - CHICAGO CHICAGO |
$205 | $75.00 | $40.90 | $167 | $130 | — | $85.00 | — | $73.12 |
| WEST SUBURBAN MEDICAL CENTER OAK PARK |
$211 | — | — | — | — | — | — | — | — |
| MEMORIAL HOSPITAL ASSOCIATION CARTHAGE |
$218 | $77.97 | $106 | $226 | — | $76.44 | $246 | — | — |
| HSHS ST FRANCIS HOSPITAL LITCHFIELD |
$219 | $66.88 | $63.84 | $66.88 | $300 | $63.84 | $258 | $67.03 | — |
| WASHINGTON COUNTY HOSPITAL NASHVILLE |
$222 | $80.70 | $94.52 | $61.30 | $125 | $94.52 | — | $94.52 | $94.52 |
| HSHS ST. JOSEPH'S HOSPITAL BREESE BREESE |
$224 | $94.52 | $94.52 | $94.52 | $300 | $94.52 | $264 | $94.52 | — |
| HSHS GOOD SHEPHERD HOSPITAL SHELBYVILLE |
$227 | $78.75 | $78.75 | $78.75 | $300 | $78.75 | $268 | $82.69 | — |
| SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON MT. VERNON |
$229 | — | — | — | — | — | — | — | — |
That is the median of what the 122 Illinois 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 Illinois, Medicare reimburses about $96.80 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Illinois range from $35.97 to $2,647 — that means hospital cash prices are typically 2.4x 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 Illinois?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in Illinois range from $35.97 to $2,647, with a median of $229. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in Illinois?
- The cheapest Illinois hospital published cash price for this procedure is $35.97. 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.