Evaluation for Physical Therapy, Typically 20 Minutes Cost in Montana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 36 Montana hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $189
📉 Low $85.00
📈 High $310
🏥 36 hospitals
🏛️ 23 with insurance contracts
🇺🇸 Medicare $97.86
Hospital comparison — Montana
Sorted by cash price (lowest first). Showing top 36 of 36 hospitals.
Billed more than $189 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Humana | Cigna | Aetna | TRICARE | Medicare | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| PHILLIPS COUNTY HOSPITAL MALTA |
$85.00 | — | — | — | — | — | — | — | — |
| PROVIDENCE ST JOSEPH MEDICAL CENTER POLSON |
$92.80 | — | — | — | — | — | — | — | — |
| SIDNEY HEALTH CENTER SIDNEY |
$111 | $162 | $93.29 | — | $162 | $155 | — | — | — |
| PROVIDENCE ST PATRICK HOSPITAL MISSOULA |
$119 | $98.84 | — | $99.82 | — | — | — | — | — |
| BIG SANDY MEDICAL CENTER BIG SANDY |
$120 | $149 | — | $152 | — | — | — | — | — |
| LOGAN HEALTH MEDICAL CENTER KALISPELL |
$146 | $97.86 | — | $102 | — | — | — | — | — |
| LOGAN HEALTH CUT BANK CUT BANK |
$146 | $97.86 | — | $102 | — | — | — | — | — |
| BENEFIS MISSOURI RIVER MEDICAL CENTER CHOTEAU |
$151 | — | — | — | — | — | — | — | — |
| BENEFIS TETON MEDICAL CENTER CHOTEAU |
$151 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH SHELBY SHELBY |
$151 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH WHITEFISH WHITEFISH |
$151 | $158 | — | — | — | — | — | — | — |
| ST LUKE COMMUNITY HOSPITAL RONAN |
$159 | — | — | — | — | — | — | — | — |
| ROSEBUD HEALTH CARE CENTER HOSPITAL FORSYTH |
$162 | $138 | $159 | — | $159 | — | — | $95.90 | — |
| ROOSEVELT MEDICAL CENTER CULBERTSON |
$163 | $153 | $153 | — | — | — | — | — | $161 |
| LOGAN HEALTH CHESTER CHESTER |
$165 | — | — | — | — | — | — | — | — |
| MINERAL COMMUNITY HOSPITAL SUPERIOR |
$174 | $95.00 | — | — | $95.00 | — | — | — | — |
| BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN |
$174 | $174 | $238 | — | $233 | — | $95.16 | — | $238 |
| HOLY ROSARY HEALTHCARE MILES CITY |
$189 | — | $87.70 | — | $159 | — | — | — | — |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER BIG SKY |
$190 | $174 | $238 | — | $233 | — | $95.16 | — | $238 |
| LOGAN HEALTH CONRAD CONRAD |
$199 | — | — | — | — | — | — | — | — |
| DAHL MEMORIAL HEALTHCARE EKALAKA |
$201 | $201 | $201 | — | — | — | — | — | — |
| BILLINGS CLINIC BROADWATER TOWNSEND |
$213 | — | — | — | — | — | — | — | — |
| COMMUNITY MEDICAL CENTER FORT MISSOULA ROAD MISSOULA |
$224 | — | $354 | $105 | — | $317 | — | — | — |
| GLENDIVE MEDICAL CENTER GLENDIVE |
$231 | $39.00 | $39.00 | $39.00 | $39.00 | $39.00 | $130 | $39.00 | — |
| ST. VINCENT REGIONAL HOSPITAL BILLINGS |
$239 | — | $112 | — | — | — | — | $110 | — |
| CLARK FORK VALLEY HOSPITAL PLAINS |
$240 | $240 | — | — | — | — | — | — | — |
| FALLON MEDICAL COMPLEX BAKER |
$247 | $2.91 | $2.91 | $2.91 | — | — | $2.91 | — | — |
| ST. PETER'S HEALTH REGIONAL MEDICAL CENTER E BROADWAY ST HELENA |
$248 | — | — | — | — | — | — | — | — |
| BILLINGS CLINIC BILLINGS |
$249 | $97.86 | — | — | — | — | — | — | — |
| STILLWATER BILLINGS CLINIC COLUMBUS |
$252 | — | — | — | — | — | — | — | — |
| PRAIRIE COMMUNITY HOSPITAL TERRY |
$272 | $209 | $209 | $251 | — | $209 | $209 | — | — |
| GREAT FALLS CLINIC HOSPITAL GREAT FALLS |
$276 | $80.00 | $75.00 | $97.86 | — | — | — | — | — |
| BIG HORN COUNTY MEMORIAL HOSPITAL HARDIN |
$290 | — | — | — | — | — | — | — | — |
| ST. JAMES HEALTHCARE BUTTE |
$292 | — | $112 | $113 | — | — | — | — | — |
| BEARTOOTH BILLINGS CLINIC RED LODGE |
$302 | — | — | — | — | $95.00 | — | — | — |
| DEER LODGE MEDICAL CENTER DEER LODGE |
$310 | — | — | — | — | — | — | — | — |
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 $189 for this?
That is the median of what the 36 Montana 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 Montana, Medicare reimburses about $97.86 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Montana range from $85.00 to $310 — that means hospital cash prices are typically 1.9x 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 Montana?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in Montana range from $85.00 to $310, with a median of $189. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in Montana?
- The cheapest Montana hospital published cash price for this procedure is $85.00. 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 Montana
Methodology. Cash prices and insurance-negotiated rates published by each Montana facility under federal price transparency rules (45 CFR § 180). CPT code 97161 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.