Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Idaho
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 24 Idaho hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $169
📉 Low $98.25
📈 High $277
🏥 24 hospitals
🏛️ 15 with insurance contracts
🇺🇸 Medicare $64.49
Hospital comparison — Idaho
Sorted by cash price (lowest first). Showing top 24 of 24 hospitals.
Billed more than $169 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | BCBS | Molina | Humana | MultiPlan | Kaiser |
|---|---|---|---|---|---|---|---|---|---|
| MADISON MEMORIAL HOSPITAL REXBURG |
$98.25 | $95.00 | $94.00 | $70.56 | $64.49 | $64.49 | — | — | — |
| GRITMAN MEDICAL CENTER MOSCOW |
$136 | $49.37 | — | $129 | $59.84 | — | — | — | $59.84 |
| NORTH CANYON MEDICAL CENTER GOODING |
$139 | — | — | — | — | — | — | — | — |
| CASCADE MEDICAL CENTER CASCADE |
$142 | $140 | $139 | $180 | — | — | — | — | — |
| POWER COUNTY HOSPITAL DISTRICT AMERICAN FALLS |
$144 | $80.00 | $68.00 | $80.00 | $68.00 | $68.00 | $80.00 | $80.00 | — |
| PORTNEUF MEDICAL CENTER POCATELLO |
$148 | — | — | — | — | — | — | — | — |
| KOOTENAI HEALTH COEUR D'ALENE |
$158 | $65.36 | $64.49 | $172 | $64.49 | $34.40 | $64.49 | — | $69.15 |
| SHOSHONE MEDICAL CENTER KELLOGG |
$162 | $65.87 | $205 | $63.95 | — | — | $65.87 | $205 | $205 |
| INTERMOUNTAIN HEALTH CASSIA REGIONAL HOSPITAL BURLEY |
$165 | $67.59 | $67.59 | — | $67.59 | $67.59 | $67.59 | — | — |
| ST. LUKE'S WOOD RIVER MEDICAL CENTER KETCHUM |
$169 | — | — | — | — | — | — | — | — |
| ST. LUKE'S NAMPA MEDICAL CENTER NAMPA |
$169 | — | — | — | — | — | — | — | — |
| ST. LUKE'S MCCALL MEDICAL CENTER MCCALL |
$169 | — | — | — | — | — | — | — | — |
| ST. LUKE'S BOISE MEDICAL CENTER BOISE |
$169 | — | — | — | — | — | — | — | — |
| ST. LUKE'S JEROME MEDICAL CENTER TWIN FALLS |
$169 | — | — | — | — | — | — | — | — |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER BOISE |
$172 | — | — | — | — | — | — | — | — |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA NAMPA |
$172 | — | — | — | — | — | — | — | — |
| WEISER MEMORIAL HOSPITAL WEISER |
$176 | — | $52.76 | — | — | — | — | — | — |
| BEAR LAKE MEMORIAL HOSPITAL MONTPELIER |
$213 | — | — | — | $243 | — | — | — | — |
| VIBRA HOSPITAL OF BOISE BOISE |
$216 | — | — | — | — | $216 | — | — | — |
| NORTHWEST SPECIALTY HOSPITAL POST FALLS |
$226 | $40.90 | $53.30 | $66.10 | $54.00 | $64.49 | — | $75.00 | $64.49 |
| IDAHO FALLS COMMUNITY HOSPITAL IDAHO FALLS |
$234 | $64.49 | $64.49 | $70.00 | $62.00 | $64.49 | $64.49 | $75.00 | — |
| MOUNTAIN VIEW HOSPITAL IDAHO FALLS |
$234 | $64.49 | $64.49 | $70.00 | $64.49 | $64.49 | $61.27 | $75.00 | — |
| WEST VALLEY MEDICAL CENTER CALDWELL |
$239 | $189 | $57.89 | $134 | $55.26 | $55.26 | $56.75 | $191 | — |
| EASTERN IDAHO REGIONAL MEDICAL CENTER IDAHO FALLS |
$277 | $109 | $57.89 | $152 | $55.26 | $55.26 | $57.89 | $233 | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97164, 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: $145 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $169 for this?
That is the median of what the 24 Idaho hospitals above publish for Re-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 97164 in Idaho, Medicare reimburses about $64.49 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Idaho range from $98.25 to $277 — that means hospital cash prices are typically 2.6x 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 re-evaluation for physical therapy, typically 20 minutes cost in Idaho?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Idaho range from $98.25 to $277, with a median of $169. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Idaho?
- The cheapest Idaho hospital published cash price for this procedure is $98.25. 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.
Re-evaluation for physical therapy, typically 20 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 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.