Evaluation for Physical Therapy, Typically 30 Minutes Cost in Connecticut
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 19 Connecticut hospitals. CPT 97162. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Connecticut
Sorted by cash price (lowest first). Showing top 19 of 19 hospitals.
| Hospital | Cash | Aetna | Cigna | UHC | BCBS | MultiPlan | Centene | Medicare | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| THE CONNECTICUT HOSPICE INC. BRANFORD |
$132 | — | $56.00 | — | — | — | — | — | — |
| JOHNSON MEMORIAL HOSPITAL STAFFORD SPRINGS |
$201 | — | — | — | — | — | — | — | — |
| GAYLORD HOSPITAL WALLINGFORD |
$208 | $103 | $129 | $103 | — | $237 | — | — | — |
| MOUNT SINAI REHABILITATION HOSPITAL HARTFORD |
$231 | — | — | — | — | — | — | — | — |
| BRISTOL HOSPITAL BRISTOL |
$250 | $104 | $281 | $104 | — | $369 | $104 | — | — |
| LAWRENCE + MEMORIAL HOSPITAL NEW LONDON |
$256 | $85.65 | $421 | $50.70 | — | $634 | — | $75.90 | $41.64 |
| HOSPITAL FOR SPECIAL CARE NEW BRITAIN |
$272 | $112 | $245 | $134 | — | — | — | — | — |
| WATERBURY HOSPITAL WATERBURY |
$313 | $115 | $215 | $232 | — | — | — | — | — |
| CONNECTICUT CHILDRENS MEDICAL CENTER HARTFORD |
$325 | — | — | — | — | — | — | — | — |
| SAINT MARYS HOSPITAL WATERBURY |
$362 | — | — | — | — | — | — | — | — |
| GREENWICH HOSPITAL GREENWICH |
$370 | $87.22 | $284 | $68.12 | — | $463 | — | $59.79 | $349 |
| BRIDGEPORT HOSPITAL BRIDGEPORT |
$370 | $205 | $205 | $205 | — | $205 | — | $205 | $205 |
| SHARON HOSPITAL PO BOX 789 |
$392 | $103 | — | — | $349 | — | — | — | — |
| YALE-NEW HAVEN HOSPITAL NEW HAVEN |
$420 | $70.44 | $294 | $68.62 | — | — | — | $69.69 | $29.93 |
| ST FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD |
$421 | — | — | — | — | — | — | — | — |
| HSS STAMFORD STAMFORD |
$551 | $205 | $228 | $106 | $256 | — | $81.90 | — | — |
| NORWALK HOSPITAL NORWALK |
$637 | $103 | $106 | — | $186 | — | $105 | — | — |
| DANBURY HOSPITAL DANBURY |
$664 | $103 | $106 | — | $186 | — | $105 | — | — |
| NEW MILFORD HOSPITAL NEW MILFORD |
$664 | $103 | $106 | — | $186 | — | $105 | — | — |
That is the median of what the 19 Connecticut hospitals above publish for Evaluation for physical therapy, typically 30 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 97162 in Connecticut, Medicare reimburses about $103 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Connecticut range from $132 to $664 — that means hospital cash prices are typically 3.5x 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 30 minutes cost in Connecticut?
- Cash prices for evaluation for physical therapy, typically 30 minutes (CPT 97162) in Connecticut range from $132 to $664, with a median of $362. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 30 minutes in Connecticut?
- The cheapest Connecticut hospital published cash price for this procedure is $132. 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.