Evaluation for Physical Therapy, Typically 20 Minutes Cost in Missouri
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 88 Missouri hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $154
📉 Low $44.07
📈 High $1,209
🏥 88 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $94.07
Hospital comparison — Missouri
Sorted by cash price (lowest first). Showing top 60 of 88 hospitals.
Billed more than $154 for this? That gap is evidence.
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| Hospital | Cash | UHC | BCBS | Aetna | Cigna | Humana | MultiPlan | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| COX MEDICAL CENTER SOUTH SPRINGFIELD |
$44.07 | $22.00 | — | $49.50 | $55.00 | $91.50 | $75.00 | — | $86.30 |
| ARCHVIEW ER & HOSPITAL N JEFFERSON AVE SAINT LOUIS |
$56.25 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL PERRY PERRYVILLE |
$60.45 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL CASSVILLE CASSVILLE |
$62.40 | — | — | — | — | — | — | — | — |
| MERCY ST. FRANCIS HOSPITAL MOUNTAIN VIEW |
$62.40 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL AURORA AURORA |
$63.70 | — | — | — | — | — | — | — | — |
| COX MEDICAL CENTER BRANSON BRANSON |
$70.37 | $50.00 | $100 | $85.00 | $326 | — | $87.00 | — | $70.00 |
| SAMARITAN HOSPITAL MACON |
$79.00 | — | — | — | — | $76.00 | $79.00 | $45.00 | — |
| LIBERTY HOSPITAL LIBERTY |
$79.00 | $95.05 | $95.05 | $95.05 | — | $96.95 | — | $121 | — |
| MERCY HOSPITAL SOUTH ST. LOUIS |
$80.60 | — | — | — | — | — | — | — | — |
| WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI |
$90.38 | $66.28 | — | — | $98.82 | $108 | — | $49.35 | — |
| LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH |
$90.60 | $68.80 | — | $75.00 | $70.00 | — | — | — | — |
| MERCY HOSPITAL CARTHAGE CARTHAGE |
$92.30 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL JOPLIN JOPLIN |
$93.60 | — | — | — | — | — | — | — | — |
| COX MONETT HOSPITAL MONETT |
$94.55 | $22.00 | — | $80.50 | $289 | $22.00 | $75.00 | $23.00 | $86.30 |
| ST. MARY'S MEDICAL CENTER BLUE SPRINGS |
$95.00 | $52.23 | $152 | $95.05 | $95.05 | — | — | — | — |
| ST. JOSEPH MEDICAL CENTER KANSAS CITY |
$95.00 | $52.23 | $95.05 | $95.05 | $95.05 | — | — | — | — |
| MERCY HOSPITAL WASHINGTON WASHINGTON |
$96.85 | — | — | — | — | — | — | — | — |
| BOTHWELL REGIONAL HEALTH CENTER SEDALIA |
$98.25 | $91.50 | $73.20 | $80.00 | $49.00 | $91.50 | $91.50 | $91.50 | — |
| COX BARTON COUNTY HOSPITAL LAMAR |
$98.89 | $32.00 | — | $62.80 | $326 | $27.00 | $80.00 | $28.35 | $90.00 |
| SAINT FRANCIS MEDICAL CENTER CAPE GIRARDEAU |
$103 | $78.06 | $91.50 | $79.98 | — | — | — | — | — |
| MERCY HOSPITAL STODDARD DEXTER |
$105 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL LINCOLN TROY |
$107 | — | — | — | — | — | — | — | — |
| BOONE HOSPITAL CENTER COLUMBIA |
$116 | $91.50 | $93.33 | $94.43 | — | $93.06 | — | $96.08 | — |
| MERCY CHILDREN'S HOSPITAL ST. LOUIS PHONE: |
$120 | — | — | — | — | — | — | — | — |
| ST. LUKE'S REHABILITATION HOSPITAL CHESTERFIELD |
$120 | — | — | — | — | — | $84.25 | — | — |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER LEES SUMMIT ROAD KANSAS CITY |
$126 | $100 | $80.80 | $80.00 | $67.30 | $96.11 | $73.00 | $114 | — |
| UNIVERSITY HEALTH TRUMAN MEDICAL CENTER HOLMES KANSAS CITY |
$126 | $100 | $79.60 | $80.00 | $67.30 | $96.11 | $73.00 | $114 | $69.50 |
| HARRISON COUNTY COMMUNITY HOSPITAL BETHANY |
$130 | $105 | $97.76 | $114 | $91.36 | $105 | $88.88 | $105 | — |
| HANNIBAL REGIONAL HOSPITAL HANNIBAL |
$132 | $93.19 | — | $91.36 | $171 | — | — | — | — |
| NEVADA REGIONAL MEDICAL CENTER NEVADA |
$136 | $35.00 | $75.00 | $76.40 | — | $43.00 | — | — | — |
| BARNES-JEWISH ST. PETERS HOSPITAL ST. PETERS |
$142 | $95.75 | $95.75 | $95.75 | $227 | $95.75 | $177 | — | $175 |
| BARNES-JEWISH WEST COUNTY HOSPITAL ST LOUIS |
$142 | $95.75 | $95.75 | $95.75 | $227 | $95.75 | $177 | — | $175 |
| PROGRESS WEST HOSPITAL O'FALLON |
$142 | $95.75 | $95.75 | $95.75 | $227 | $95.75 | $177 | — | $175 |
| CHRISTIAN HOSPITAL ST. LOUIS |
$142 | $95.75 | $95.75 | $95.75 | $189 | $95.75 | $177 | — | $175 |
| MISSOURI BAPTIST MEDICAL CENTER ST. LOUIS |
$142 | $95.75 | $95.75 | $95.75 | $227 | $95.75 | $177 | — | $175 |
| ELLETT MEMORIAL HOSPITAL NORTH OHIO AVENUE APPLETON CITY |
$143 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL LEBANON LEBANON |
$144 | — | — | — | — | — | — | — | — |
| MERCY CHILDREN'S HOSPITAL SPRINGFIELD SPRINGFIELD |
$153 | — | — | — | — | — | — | — | — |
| MERCY ORTHOPEDIC HOSPITAL SPRINGFIELD OZARK |
$153 | — | — | — | — | — | — | — | — |
| FREEMAN HOSPITAL EAST JOPLIN |
$154 | — | — | — | — | — | — | — | — |
| PARKLAND HEALTH CENTER - BONNE TERRE BONNE TERRE |
$154 | $95.75 | $95.75 | $95.75 | $156 | $95.75 | $192 | — | $190 |
| FREEMAN HOSPITAL WEST JOPLIN |
$154 | — | — | — | — | — | — | — | — |
| MISSOURI BAPTIST HOSPITAL SULLIVAN BOONVILLE |
$154 | $57.34 | $59.70 | $56.32 | $156 | $56.83 | $192 | — | $190 |
| FREEMAN NEOSHO HOSPITAL NEOSHO |
$155 | — | — | — | — | — | — | — | — |
| HEDRICK MEDICAL CENTER CHILLICOTHE |
$155 | $228 | $220 | $220 | $194 | $243 | — | — | $241 |
| WRIGHT MEMORIAL HOSPITAL TRENTON |
$155 | $185 | $220 | $214 | $207 | $218 | — | — | $213 |
| CEDAR COUNTY MEMORIAL HOSPITAL EL DORADO SPRINGS |
$157 | $54.00 | — | $54.00 | $90.00 | $54.00 | $65.00 | $54.00 | — |
| PIKE COUNTY MEMORIAL HOSPITAL GEORGIA STREET LOUSIANA |
$163 | $204 | $204 | $204 | $204 | — | — | $204 | — |
| SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER ST. LOUIS |
$167 | — | $82.07 | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY JEFFERSON CITY |
$168 | — | $146 | — | — | — | — | — | — |
| SSM HEALTH ST JOSEPH HEALTH CENTER -SAINT CHARLES ST. CHARLES |
$168 | — | $84.01 | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL ST LOUIS ST. LOUIS |
$168 | — | $84.01 | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE WENTZVILLE |
$168 | — | $84.01 | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS LAKE ST. LOUIS |
$168 | — | $84.01 | — | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL - FENTON FENTON |
$168 | — | $84.01 | — | — | — | — | — | — |
| SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS BRIDGETON |
$168 | — | $84.01 | — | — | — | — | — | — |
| MADISON MEDICAL CENTER FREDERICKTOWN |
$172 | — | — | — | — | — | — | — | — |
| KINDRED HOSPITAL ST LOUIS SOUTH ST. LOUIS |
$176 | — | — | — | — | — | — | — | — |
| CASS REGIONAL MEDICAL CENTER HARRISONVILLE |
$177 | $63.50 | $75.90 | $153 | $32.89 | $122 | $213 | $103 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97161, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $202 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $154 for this?
That is the median of what the 88 Missouri 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 Missouri, Medicare reimburses about $94.07 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Missouri range from $44.07 to $1,209 — that means hospital cash prices are typically 1.6x 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 Missouri?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in Missouri range from $44.07 to $1,209, with a median of $154. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in Missouri?
- The cheapest Missouri hospital published cash price for this procedure is $44.07. 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.
Evaluation for physical therapy, typically 20 minutes in nearby states
Other procedures in Missouri
Methodology. Cash prices and insurance-negotiated rates published by each Missouri facility under federal price transparency rules (45 CFR § 180). CPT code 97161 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.