Evaluation for Physical Therapy, Typically 30 Minutes Cost in Idaho
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 25 Idaho hospitals. CPT 97162. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $234
📉 Low $161
📈 High $586
🏥 25 hospitals
🏛️ 15 with insurance contracts
🇺🇸 Medicare $94.00
Hospital comparison — Idaho
Sorted by cash price (lowest first). Showing top 25 of 25 hospitals.
Billed more than $234 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | BCBS | Molina | Humana | MultiPlan | Kaiser |
|---|---|---|---|---|---|---|---|---|---|
| MADISON MEMORIAL HOSPITAL REXBURG |
$161 | $95.00 | $94.00 | $70.56 | $70.00 | $94.00 | — | — | — |
| NORTH CANYON MEDICAL CENTER GOODING |
$169 | — | — | — | — | — | — | — | — |
| KOOTENAI HEALTH COEUR D'ALENE |
$188 | $95.27 | $94.00 | $205 | $94.00 | $50.00 | $94.00 | — | $101 |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BOISE |
$188 | — | — | — | — | — | — | — | — |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA NAMPA |
$188 | — | — | — | — | — | — | — | — |
| GRITMAN MEDICAL CENTER MOSCOW |
$198 | $71.68 | — | $188 | $87.12 | — | — | — | $87.12 |
| POWER COUNTY HOSPITAL DISTRICT AMERICAN FALLS |
$217 | $80.00 | $68.00 | $80.00 | $68.00 | $68.00 | $80.00 | $80.00 | — |
| TREASURE VALLEY HOSPITAL WEST EMERALD STREET BOISE |
$223 | — | — | — | — | — | — | — | — |
| CASCADE MEDICAL CENTER CASCADE |
$224 | $220 | $218 | $283 | — | — | — | — | — |
| BEAR LAKE MEMORIAL HOSPITAL MONTPELIER |
$224 | — | — | — | $255 | — | — | — | — |
| NORTHWEST SPECIALTY HOSPITAL POST FALLS |
$226 | $40.90 | $53.30 | $66.10 | $54.00 | $94.00 | — | $75.00 | $94.00 |
| MOUNTAIN VIEW HOSPITAL IDAHO FALLS |
$234 | $85.00 | $83.00 | $70.00 | $70.00 | $94.00 | $89.30 | $75.00 | — |
| IDAHO FALLS COMMUNITY HOSPITAL IDAHO FALLS |
$234 | $94.00 | $75.00 | $70.00 | $62.00 | $94.00 | $94.00 | $75.00 | — |
| ST. LUKE'S WOOD RIVER MEDICAL CENTER KETCHUM |
$246 | — | — | — | — | — | — | — | — |
| ST. LUKE'S MCCALL MEDICAL CENTER MCCALL |
$246 | — | — | — | — | — | — | — | — |
| ST. LUKE'S NAMPA MEDICAL CENTER NAMPA |
$246 | — | — | — | — | — | — | — | — |
| ST. LUKE'S BOISE MEDICAL CENTER BOISE |
$246 | — | — | — | — | — | — | — | — |
| ST. LUKE'S JEROME MEDICAL CENTER TWIN FALLS |
$246 | — | — | — | — | — | — | — | — |
| INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL BURLEY |
$266 | $97.92 | $97.92 | — | $97.92 | $97.92 | $97.92 | — | — |
| SHOSHONE MEDICAL CENTER KELLOGG |
$269 | $95.79 | $341 | $93.00 | — | — | $95.79 | $341 | $341 |
| WEISER MEMORIAL HOSPITAL WEISER |
$323 | — | $77.61 | — | — | — | — | — | — |
| WEST VALLEY MEDICAL CENTER CALDWELL |
$354 | $280 | $84.37 | $198 | $80.35 | $80.35 | $82.72 | $283 | — |
| VIBRA HOSPITAL OF BOISE BOISE |
$388 | — | — | — | — | $388 | — | — | — |
| PORTNEUF MEDICAL CENTER POCATELLO |
$493 | — | — | — | — | — | — | — | — |
| EASTERN IDAHO REGIONAL MEDICAL CENTER IDAHO FALLS |
$586 | $231 | $84.37 | $322 | $80.35 | $80.35 | $84.37 | $492 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97162, 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: $236 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $234 for this?
That is the median of what the 25 Idaho 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 Idaho, Medicare reimburses about $94.00 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Idaho range from $161 to $586 — that means hospital cash prices are typically 2.5x 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 Idaho?
- Cash prices for evaluation for physical therapy, typically 30 minutes (CPT 97162) in Idaho range from $161 to $586, with a median of $234. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for physical therapy, typically 30 minutes in Idaho?
- The cheapest Idaho hospital published cash price for this procedure is $161. 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 30 minutes in nearby states
Other procedures in Idaho
Methodology. Cash prices and insurance-negotiated rates published by each Idaho facility under federal price transparency rules (45 CFR § 180). CPT code 97162 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.