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Evaluation for Physical Therapy, Typically 20 Minutes Cost in Wisconsin
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 83 Wisconsin hospitals. CPT 97161. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $200
📉 Low $56.25
📈 High $471
🏥 83 hospitals
🏛️ 52 with insurance contracts
🇺🇸 Medicare $95.70
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 83 hospitals.
Billed more than $200 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Molina | Humana | MultiPlan | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| GREEN BAY ER & HOSPITAL MONROE ROAD BELLEVUE |
$56.25 | — | — | — | — | — | — | — | — |
| ASCENSION WISCONSIN HOSPITAL - GREENFIELD MENOMONEE FALLS |
$58.72 | $105 | — | $81.22 | $110 | — | $122 | — | — |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$61.69 | — | $95.70 | — | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL BARABOO |
$81.95 | — | — | — | — | — | — | — | — |
| AMERY HOSPITAL AMERY |
$88.12 | — | — | — | — | — | — | — | — |
| HSHS ST. MARY'S HOSPITAL GREEN BAY |
$95.70 | $95.70 | $95.70 | $102 | $72.50 | $92.08 | $122 | $138 | $145 |
| HSHS ST CLARE MEMORIAL HOSPITAL OCONTO FALLS |
$95.70 | $34.80 | $34.80 | $90.63 | $34.80 | $34.80 | $129 | $138 | $145 |
| HSHS ST. VINCENT'S HOSPITAL GREEN BAY |
$95.70 | $95.70 | $93.67 | $102 | $72.50 | $92.08 | $122 | $138 | $145 |
| HSHS ST. NICHOLAS HOSPITAL SHEBOYGAN |
$95.70 | $95.70 | $95.70 | $102 | $72.50 | $92.08 | $122 | $138 | $145 |
| SSM HEALTH WAUPUN MEMORIAL HOSPITAL WAUPUN |
$113 | — | — | — | — | — | — | — | — |
| SSM HEALTH RIPON COMMUNITY HOSPITAL RIPON |
$113 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC FOND DU LAC |
$113 | — | — | — | — | — | — | — | — |
| FROEDTERT BLUEMOUND REHABILITATION HOSPITAL WAUWATOSA |
$137 | $95.13 | $97.03 | $194 | $95.13 | $95.13 | $199 | $215 | $298 |
| FROEDTERT HOSPITAL MILWAUKEE |
$137 | $95.13 | $97.03 | $194 | $95.13 | $95.13 | $199 | $215 | $298 |
| OSCEOLA MEDICAL CENTER OSCEOLA |
$165 | $70.00 | $85.00 | — | — | $34.00 | — | — | — |
| ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR TOWER AVE SUPERIOR |
$168 | $72.96 | $194 | $178 | — | — | — | — | — |
| HOLY FAMILY MEMORIAL MANITOWOC |
$172 | $95.13 | — | $225 | $95.13 | $95.13 | $250 | $275 | $188 |
| SSM HEALTH ST MARYS HOSPITAL JANESVILLE JANESVILLE |
$174 | — | — | — | — | — | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER BAY AREA MARINETTE |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA ST. LUKE'S SOUTH SHORE CUDAHY |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA SINAI MEDICAL CENTER MILWAUKEE |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA PSYCHIATRIC HOSPITAL WAUWATOSA |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER WASHINGTON COUNTY HARTFORD |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER GRAFTON GRAFTON |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA WEST ALLIS MEDICAL CENTER WEST ALLIS |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER KENOSHA KENOSHA |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA ST LUKES MEDICAL CENTER MILWAUKEE |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER MOUNT PLEASANT MOUNT PLEASANT |
$178 | $275 | $222 | $300 | $266 | — | — | — | — |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$182 | $95.13 | — | — | — | $95.13 | — | — | — |
| FROEDTERT COMMUNITY HOSPITAL - PEWAUKEE PEWAUKEE |
$194 | $95.13 | — | $207 | $95.13 | $95.13 | $306 | $310 | $211 |
| FROEDTERT COMMUNITY HOSPITAL - NEW BERLIN NEW BERLIN |
$194 | $95.13 | — | $207 | $95.13 | $95.13 | $306 | $310 | $211 |
| FROEDTERT COMMUNITY HOSPITAL OAK CREEK OAK CREEK |
$194 | $95.13 | — | $207 | $95.13 | $95.13 | $306 | $310 | $211 |
| FROEDTERT COMMUNITY HOSPITAL - MEQUON MEQUON |
$194 | $95.13 | — | $207 | $95.13 | $95.13 | $306 | $310 | $211 |
| FROEDTERT MENOMONEE FALLS HOSPITAL MENOMONEE FALLS |
$200 | $95.13 | $97.03 | $319 | — | $95.13 | $316 | $319 | $294 |
| UW HEALTH AMERICAN FAMILY CHILDREN'S HOSPITAL HIGHLAND AVE MADISON |
$204 | — | — | — | — | — | — | — | — |
| SSM HEALTH MONROE HOSPITAL MONROE |
$214 | — | — | — | — | — | — | — | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$216 | — | $95.70 | — | — | — | — | — | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$216 | — | $95.70 | — | — | — | — | — | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$216 | — | — | — | — | — | — | — | — |
| HOWARD YOUNG MEDICAL CENTER WOODRUFF |
$216 | — | $95.70 | — | — | — | — | — | — |
| ASPIRUS EAGLE RIVER HOSPITAL EAGLE RIVER |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$216 | $62.66 | $95.70 | — | — | $95.31 | — | — | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$216 | — | $95.70 | — | — | — | — | — | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$216 | — | — | — | — | — | — | — | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$216 | — | $95.70 | — | — | — | — | — | — |
| OAKLEAF SURGICAL HOSPITAL ALTOONA |
$218 | $80.80 | — | $90.00 | — | $95.70 | $87.00 | $85.00 | — |
| ASCENSION CALUMET HOSPITAL CHILTON |
$223 | — | — | — | — | — | — | — | — |
| FROEDTERT WEST BEND HOSPITAL WEST BEND |
$228 | $95.13 | $97.03 | $393 | $95.13 | $95.13 | $360 | $364 | $397 |
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 $200 for this?
That is the median of what the 83 Wisconsin 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 Wisconsin, Medicare reimburses about $95.70 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $56.25 to $471 — that means hospital cash prices are typically 2.1x 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 Wisconsin?
- Cash prices for evaluation for physical therapy, typically 20 minutes (CPT 97161) in Wisconsin range from $56.25 to $471, with a median of $200. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 20 minutes in Wisconsin?
- The cheapest Wisconsin hospital published cash price for this procedure is $56.25. 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 Wisconsin
Methodology. Cash prices and insurance-negotiated rates published by each Wisconsin facility under federal price transparency rules (45 CFR § 180). CPT code 97161 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.