Evaluation for Physical Therapy, Typically 20 Minutes Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 360 Texas hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $225
📉 Low $18.75
📈 High $3,065
🏥 360 hospitals
🏛️ 274 with insurance contracts
🇺🇸 Medicare $97.41
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 360 hospitals.
Billed more than $225 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | Centene | MultiPlan | Humana | Molina |
|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS COMMUNITY HOSPITAL COLUMBUS |
$18.75 | $229 | — | $125 | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF EL PASO EL PASO |
$23.82 | $92.25 | $4.76 | — | $109 | — | $14.29 | — | — |
| UT HEALTH QUITMAN QUITMAN |
$24.57 | — | — | — | — | — | — | — | — |
| NOCONA GENERAL HOSPITAL NOCONA |
$27.85 | — | — | $75.00 | $180 | — | $198 | $169 | — |
| UT HEALTH PITTSBURG PITTSBURG |
$28.44 | — | — | — | — | — | — | — | — |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$29.20 | — | — | — | — | — | — | — | — |
| UT HEALTH HENDERSON HENDERSON |
$35.80 | — | — | — | — | — | — | — | — |
| NORTHWEST HILLS SURGICAL HOSPITAL AUSTIN |
$41.40 | $148 | $165 | — | — | — | — | — | — |
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$42.90 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$43.80 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$45.30 | — | — | — | — | — | — | — | — |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$45.30 | — | — | — | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF HOUSTON HEIGHTS HOUSTON |
$47.64 | — | — | — | — | — | — | — | — |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$51.00 | $86.00 | $95.00 | $95.00 | $81.00 | — | $141 | $95.00 | $95.00 |
| UT HEALTH ATHENS ATHENS |
$51.80 | — | — | — | — | — | — | — | — |
| ROYSE CITY EMERGENCY HOSPITAL S ERBY CAMPBELL BLVD ROYSE CITY |
$56.25 | — | — | — | — | — | — | — | — |
| RED RIVER ER & HOSPITAL SHERMAN |
$56.25 | — | — | — | — | — | — | — | — |
| NEW BRAUNFELS ER & HOSPITAL NEW BRAUNFELS |
$56.25 | — | — | — | — | — | — | — | — |
| TEXARKANA EMERGENCY CENTER & HOSPITAL TEXARKANA |
$56.25 | — | — | — | — | — | — | — | — |
| WYLIE ER WYLIE |
$56.25 | — | — | — | — | — | — | — | — |
| BAYOU CITY ER & HOSPITAL MCKAY DRIVE HUMBLE |
$56.25 | — | — | — | — | — | — | — | — |
| THE COLONY ER HOSPITAL THE COLONY |
$56.25 | — | — | — | — | — | — | — | — |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$57.00 | $105 | $153 | $134 | — | — | $153 | $97.00 | $102 |
| AHS SHERMAN MEDICAL CENTER SHERMAN |
$59.00 | — | $58.00 | $225 | $250 | — | — | — | — |
| ASCENSION SETON BASTROP BASTROP |
$60.12 | $148 | $95.34 | $97.25 | — | $95.34 | — | $95.34 | — |
| UT HEALTH TYLER HOSPITAL TYLER |
$61.60 | — | — | — | — | — | — | — | — |
| PECOS COUNTY MEMORIAL HOSPITAL FORT STOCKTON |
$65.00 | $54.00 | $39.00 | — | $52.00 | — | $77.00 | $69.00 | — |
| EL CAMPO MEMORIAL HOSPITAL EL CAMPO |
$65.00 | — | — | — | — | — | — | — | — |
| EXALT HEALTH INPATIENT REHABILITATION HOSPITAL CONROE W. CONROE |
$65.95 | — | — | — | — | — | — | — | — |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS |
$66.50 | $86.45 | $103 | $100 | $90.44 | — | — | $95.34 | $95.34 |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$68.20 | — | — | — | — | — | — | — | — |
| MID COAST WELLCARE TRINITY TRINITY |
$72.00 | — | — | — | — | — | — | — | — |
| LLANO REGIONAL HOSPITAL LLANO |
$72.00 | — | — | — | — | — | — | — | — |
| MIDCOAST MEDICAL CENTER BELLVILLE BELLVILLE |
$72.00 | — | — | — | — | — | — | — | — |
| THROCKMORTON COUNTY MEMORIAL HOSPITAL THROCKMORTON |
$75.00 | $51.00 | — | $54.00 | $53.00 | — | — | $53.00 | — |
| LAMB HEALTHCARE CENTER LITTLEFIELD |
$77.00 | $88.00 | $104 | — | $125 | $97.00 | — | $144 | — |
| TMC BONHAM HOSPITAL BONHAM |
$78.10 | $154 | $171 | $105 | $115 | — | — | — | — |
| DRISCOLL CHILDREN'S HOSPITAL CORPUS CHRISTI |
$79.86 | — | — | — | — | — | — | — | — |
| PAMPA REGIONAL MEDICAL CENTER PAMPA |
$80.00 | $75.25 | $93.57 | $79.00 | — | — | — | — | $100 |
| BAYLOR SCOTT & WHITE SURGICAL HOSPITAL FORT WORTH FORT WORTH |
$80.40 | $3,986 | — | — | — | — | — | — | — |
| CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS SAN ANTONIO |
$82.50 | $210 | $64.56 | $259 | $283 | — | — | $208 | — |
| NORTH CENTRAL SURGICAL CENTER UNIT 100 |
$82.80 | $3,986 | — | — | — | — | — | — | — |
| BOMAR REHABILITATION CENTER NACOGDOCHES |
$84.00 | $154 | $224 | $134 | — | — | $224 | — | $280 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER UPTOWN DALLAS |
$84.60 | $3,986 | — | — | — | — | — | — | — |
| BAYLOR SCOTT & WHITE MEDICAL CENTER TROPHY CLUB TROPHY CLUB |
$85.20 | $3,986 | — | — | — | — | — | — | — |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS IRVING |
$91.20 | $3,986 | — | — | — | — | — | — | — |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY EDINBURG |
$91.74 | — | — | — | — | — | — | — | — |
| KNAPP MEDICAL CENTER WESLACO |
$95.00 | $95.48 | — | $95.48 | $95.48 | $95.48 | $100 | — | $100 |
| MISSION REGIONAL MEDICAL CENTER MISSION |
$95.00 | $95.48 | $95.48 | $95.48 | $95.48 | $95.48 | — | — | $100 |
| HARLINGEN MEDICAL CENTER HARLINGEN |
$95.00 | $95.48 | $91.78 | $95.48 | $95.48 | $95.48 | — | $95.48 | $100 |
| HUNTSVILLE MEMORIAL HOSPITAL HUNTSVILLE |
$95.00 | $191 | $58.00 | $95.00 | $457 | $95.00 | $343 | $307 | $110 |
| SEMINOLE HOSPITAL DISTRICT SEMINOLE |
$96.64 | — | $71.73 | $47.96 | $71.73 | $39.11 | — | — | — |
| BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL ARLINGTON ARLINGTON |
$97.20 | $3,986 | — | — | — | — | — | — | — |
| DALLAS MEDICAL CENTER DALLAS |
$98.00 | $98.10 | $98.10 | $87.00 | $98.10 | $98.10 | — | $98.10 | $103 |
| DALLAS REGIONAL MEDICAL CENTER MESQUITE |
$98.00 | $95.16 | $98.10 | $89.00 | $98.10 | $98.10 | $103 | — | $103 |
| ACUTE REHABILITATION HOSPITAL OF PLANO SUITE 200 |
$98.93 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HEALTH MEMORIAL HOSPITAL SAN AUGUSTINE SAN AUGUSTINE |
$100 | $185 | $167 | $120 | $100 | — | $455 | $468 | — |
| ST LUKE'S HEALTH - MEMORIAL LIVINGSTON LIVINGSTON |
$100 | $185 | $408 | $147 | $100 | — | $455 | $321 | — |
| ST LUKES HEALTH MEMORIAL LUFKIN LUFKIN |
$100 | $185 | $421 | $167 | $100 | — | $455 | $341 | — |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD KINGWOOD |
$102 | $381 | $108 | — | — | — | — | — | — |
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 $225 for this?
That is the median of what the 360 Texas 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 Texas, Medicare reimburses about $97.41 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Texas range from $18.75 to $3,065 — 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 Texas?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in Texas range from $18.75 to $3,065, with a median of $225. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in Texas?
- The cheapest Texas hospital published cash price for this procedure is $18.75. 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 Texas
Methodology. Cash prices and insurance-negotiated rates published by each Texas facility under federal price transparency rules (45 CFR § 180). CPT code 97161 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.