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Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Massachusetts
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 49 Massachusetts hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $262
📉 Low $48.92
📈 High $461
🏥 49 hospitals
🏛️ 23 with insurance contracts
🇺🇸 Medicare $72.66
Hospital comparison — Massachusetts
Sorted by cash price (lowest first). Showing top 49 of 49 hospitals.
Billed more than $262 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Centene | Humana | First Health |
|---|---|---|---|---|---|---|---|---|---|
| STURDY MEMORIAL HOSPITAL ATTLEBORO |
$48.92 | $70.67 | $75.55 | $69.03 | $90.00 | — | $75.55 | — | — |
| FRANCISCAN HOSPITAL FOR CHILDREN BRIGHTON |
$72.00 | $84.60 | $160 | $63.45 | $150 | — | — | — | — |
| HEBREW REHABILITATION CENTER AT NEWBRIDGE DEDHAM |
$83.60 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - BRIGHTON BRIGHTON |
$97.55 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - SOUTH BROCKTON |
$105 | — | — | — | — | — | — | — | — |
| CHARLTON MEMORIAL HOSPITAL FALL RIVER |
$126 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HOSPITAL NEW BEDFORD |
$126 | — | — | — | — | — | — | — | — |
| TOBEY HOSPITAL WAREHAM |
$126 | — | — | — | — | — | — | — | — |
| ATHOL HOSPITAL ATHOL |
$128 | $131 | $128 | $577 | $97.03 | — | — | — | — |
| MELROSE WAKEFIELD HOSPITAL MELROSE |
$135 | — | — | — | — | — | — | — | — |
| SOUTH SHORE HOSPITAL SOUTH WEYMOUTH |
$158 | $98.49 | $69.77 | $69.79 | — | — | — | — | — |
| COOLEY DICKINSON HOSPITAL NORTHAMPTON |
$159 | — | — | — | — | — | — | — | — |
| HEYWOOD HOSPITAL GARDNER |
$166 | $155 | $128 | $577 | $216 | — | — | — | — |
| BOSTON MEDICAL CENTER BOSTON |
$169 | — | — | — | — | — | — | — | — |
| CHA CAMBRIDGE HOSPITAL CAMBRIDGE |
$175 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF WESTERN MASS CENTRAL CAMPUS ROCHDALE |
$180 | — | — | — | — | — | — | — | — |
| CAPE COD HOSPITAL HYANNIS |
$209 | $75.00 | $95.00 | $69.77 | $81.75 | $95.00 | — | — | — |
| FALMOUTH HOSPITAL FALMOUTH |
$209 | $75.00 | $95.00 | $69.77 | $90.93 | $95.00 | — | — | — |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL BROCKTON |
$211 | $154 | $53.12 | $276 | $90.12 | — | — | $70.19 | — |
| LOWELL GENERAL - SAINTS CAMPUS LOWELL |
$216 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS NEW BEDFORD |
$219 | — | $219 | — | — | — | — | — | $219 |
| SPAULDING REHABILITATION HOSPITAL CAPE COD SANDWICH |
$232 | — | — | — | — | — | — | — | — |
| NEWTON WELLESLEY HOSPITAL NEWTON |
$234 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S FAULKNER HOSPITAL BOSTON |
$234 | — | — | — | — | — | — | — | — |
| TUFTS MEDICAL CENTER BOSTON |
$262 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL HOSPITAL - HARRINGTON HOSPITAL SOUTH ST SOUTHBRIDGE |
$263 | — | — | — | — | — | — | — | — |
| SPAULDING REHABILITATION HOSPITAL BOSTON BOSTON |
$263 | — | — | — | — | — | — | — | — |
| MERCY MEDICAL CENTER - SPRINGFIELD SPRINGFIELD |
$276 | — | — | — | — | — | — | — | — |
| DANA-FARBER CANCER INSTITUTE BOSTON |
$276 | — | — | — | — | — | — | — | — |
| ST VINCENT HOSPITAL WORCESTER |
$290 | $146 | — | — | — | — | — | — | — |
| LEONARD MORSE HOSPITAL NATICK |
$290 | $117 | — | — | — | — | — | — | — |
| FRAMINGHAM UNION HOSPITAL FRAMINGHAM |
$290 | $117 | — | — | — | — | — | — | — |
| SHRINERS CHILDREN'S BOSTON BOSTON |
$304 | $33.15 | $75.00 | $167 | $130 | $85.00 | $22.00 | — | — |
| UMASS MEMORIAL MEDICAL CENTER - MARLBOROUGH CAMPUS BELMONT STREET WORCESTER |
$306 | — | — | — | — | — | — | — | — |
| NANTUCKET COTTAGE HOSPITAL NANTUCKET |
$306 | — | — | — | — | — | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD |
$309 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S HOSPITAL BOSTON |
$321 | — | — | — | — | — | — | — | — |
| MASSACHUSETTS GENERAL HOSPITAL BOSTON |
$321 | — | — | — | — | — | — | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON SUMNER STREET STOUGHTON |
$325 | — | — | — | — | — | — | — | — |
| BOSTON CHILDREN'S HOSPITAL BROOKLINE BROOKLINE |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL MARTHA ELIOT HEALTH CENTER BOSTON |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL BOSTON |
$414 | $234 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S LEXINGTON LEXINGTON |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL WALTHAM WALTHAM |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL WEYMOUTH WEYMOUTH |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL NORTH DARTMOUTH BUILDING 200 |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S NEEDHAM NEEDHAM |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| BOSTON CHILDREN'S HOSPITAL PEABODY PEABODY |
$414 | $208 | $248 | $248 | $352 | $381 | $262 | $373 | $381 |
| UMASS MEMORIAL HEALTH ALLIANCE - CLINTON HOSPITAL HOSPITAL RD. LEOMINSTER |
$461 | — | — | — | — | — | — | — | — |
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 $262 for this?
That is the median of what the 49 Massachusetts 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 Massachusetts, Medicare reimburses about $72.66 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Massachusetts range from $48.92 to $461 — that means hospital cash prices are typically 3.6x 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 Massachusetts?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Massachusetts range from $48.92 to $461, with a median of $262. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Massachusetts?
- The cheapest Massachusetts hospital published cash price for this procedure is $48.92. 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 Massachusetts
Methodology. Cash prices and insurance-negotiated rates published by each Massachusetts facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.