Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in New York
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 113 New York hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $169
📉 Low $30.00
📈 High $735
🏥 113 hospitals
🏛️ 80 with insurance contracts
🇺🇸 Medicare $73.16
Hospital comparison — New York
Sorted by cash price (lowest first). Showing top 60 of 113 hospitals.
Billed more than $169 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Centene | Cigna | BCBS | Humana | MultiPlan | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| CARTHAGE AREA HOSPITAL WEST ST CARTHAGE |
$30.00 | — | — | — | — | — | — | — | — |
| O'CONNOR HOSPITAL DELHI |
$36.45 | — | — | — | — | — | — | — | — |
| LITTLE FALLS HOSPITAL LITTLE FALLS |
$36.45 | — | — | — | — | — | — | — | — |
| COBLESKILL REGIONAL HOSPITAL GRANDVIEW DRIVE COBLESKILL |
$36.46 | — | — | — | — | — | — | — | — |
| AUBURN COMMUNITY HOSPITAL AUBURN |
$46.78 | $65.62 | $49.83 | $47.46 | $124 | — | $65.62 | — | $38.01 |
| AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE ONEONTA |
$48.32 | — | — | — | — | — | — | — | — |
| MEDINA MEMORIAL HOSPITAL MEDINA |
$56.00 | — | $86.80 | — | — | — | — | — | — |
| BASSETT MEDICAL CENTER COOPERSTOWN |
$56.70 | — | — | — | — | — | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$58.10 | — | — | — | — | $18.16 | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$58.10 | — | — | — | — | $18.16 | — | — | — |
| MASSENA HOSPITAL HOSPITAL DRIVE MASSENA |
$59.55 | — | — | — | — | — | — | — | — |
| ROME MEMORIAL HOSPITAL ROME |
$60.15 | $67.44 | $1.00 | — | $67.44 | — | $67.44 | — | — |
| HIGHLAND HOSPITAL ROCHESTER |
$64.60 | — | — | — | — | — | — | — | — |
| GUTHRIE LOURDES HOSPITAL BINGHAMTON |
$66.00 | — | — | — | — | — | — | — | — |
| BERTRAND CHAFFEE HOSPITAL SPRINGVILLE |
$72.42 | $65.94 | $65.94 | $65.94 | $65.94 | $58.94 | $65.94 | — | — |
| GOUVERNEUR HOSPITAL WEST BARNEY STREET GOUVERNEUR |
$74.73 | — | — | — | — | — | — | — | — |
| SAINT BARNABAS HOSPITAL HEALTH SYSTEM BRONX |
$78.58 | — | — | $69.65 | — | — | — | — | — |
| CROUSE HOSPITAL SYRACUSE |
$81.00 | $62.34 | $62.34 | $62.34 | — | — | $62.34 | — | — |
| ST. VINCENT'S HOSPITAL WESTCHESTER YONKERS |
$82.00 | $82.00 | $66.01 | $82.00 | — | — | — | — | — |
| GENEVA GENERAL HOSPITAL GENEVA |
$82.36 | $65.60 | $65.60 | $65.60 | — | $67.44 | — | — | — |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL PENN YAN |
$82.36 | $90.59 | $80.30 | $80.30 | — | $94.71 | — | — | — |
| UNITED MEMORIAL MEDICAL CENTER NORTH STREET BATAVIA |
$82.67 | — | — | — | — | — | — | — | — |
| NYU LANGONE TISCH HOSPITAL NEW YORK |
$89.48 | $100 | $182 | $69.65 | $393 | $316 | — | $78.00 | $182 |
| NYU LANGONE HOSPITAL LONG ISLAND MINEOLA |
$89.48 | $100 | $138 | $69.65 | $393 | $316 | — | $78.00 | $138 |
| NYU LANGONE HOSPITAL - SUFFOLK PATCHOGUE |
$89.48 | $100 | $133 | $69.65 | $393 | $279 | — | $78.00 | $133 |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAGARA FALLS |
$92.76 | $30.00 | $65.62 | $62.34 | — | $69.00 | $67.59 | — | — |
| WYOMING COUNTY COMMUNITY HOSPITAL WARSAW |
$95.00 | — | — | — | — | $57.39 | — | — | — |
| SUNNYVIEW REHABILITATION HOSPITAL SCHENECTADY |
$101 | — | — | — | — | — | — | — | — |
| ST. PETER'S HOSPITAL ALBANY |
$101 | — | — | — | — | — | — | — | — |
| SAMARITAN HOSPITAL - ALBANY MEMORIAL CAMPUS ALBANY |
$101 | — | — | — | — | — | — | — | — |
| ST ANTHONY COMMUNITY HOSPITAL WARWICK |
$110 | $100 | $100 | $100 | $70.00 | $52.16 | — | $75.00 | — |
| BON SECOURS COMMUNITY HOSPITAL EAST MAIN ST. PORT JERVIS |
$110 | $100 | $100 | $100 | $70.00 | $52.16 | — | $75.00 | — |
| CLAXTON-HEPBURN MEDICAL CENTER OGDENSBURG |
$110 | — | $64.67 | $62.05 | $65.32 | $41.41 | $27.60 | $71.77 | — |
| SAMARITAN MEDICAL CENTER WASHINGTON ST. WATERTOWN |
$113 | $66.93 | $67.59 | $65.62 | — | — | — | — | — |
| GOOD SAMARITAN HOSPITAL SUFFERN |
$116 | $100 | $100 | $100 | $70.00 | $52.16 | — | $75.00 | — |
| INTERFAITH MEDICAL CENTER ATLANTIC AVENUE BROOKLYN |
$118 | — | — | — | — | — | — | — | — |
| BROOKDALE HOSPITAL MEDICAL CENTER BROOKDALE PLAZA BROOKLYN |
$118 | — | — | — | — | — | — | — | — |
| KINGSBROOK JEWISH MEDICAL CENTER SCHENECTADY AVENUE BROOKLYN |
$118 | — | — | — | — | — | — | — | — |
| KENMORE MERCY HOSPITAL KENMORE |
$124 | — | — | — | — | — | — | — | — |
| MOUNT ST. MARY'S HOSPITAL LEWISTON |
$124 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL OF BUFFALO BUFFALO |
$124 | — | — | — | — | — | — | — | — |
| URMC STRONG WEST ROCHESTER |
$127 | — | — | — | — | — | — | — | — |
| WYNN HOSPITAL UTICA |
$128 | — | — | — | — | — | — | — | — |
| CANTON-POTSDAM HOSPITAL POTSDAM |
$132 | — | — | — | — | — | — | — | — |
| RIVER HOSPITAL ALEXANDRIA BAY |
$136 | $41.18 | $56.97 | $56.97 | $65.60 | $56.97 | $56.97 | — | — |
| ADIRONDACK MEDICAL CENTER SARANAC LAKE |
$136 | $64.31 | — | $65.60 | $176 | $65.61 | — | — | — |
| CHENANGO MEMORIAL HOSPITAL NORWICH |
$144 | $66.93 | $47.35 | $65.62 | — | — | $67.59 | — | — |
| SISTERS OF CHARITY HOSPITAL BUFFALO |
$144 | — | — | — | — | — | — | — | — |
| BRONXCARE HOSPITAL CENTER - FULTON CAMPUS FULTON AVE BRONX |
$149 | $89.59 | $79.88 | $71.89 | $89.59 | — | $134 | — | $59.91 |
| OLEAN GENERAL HOSPITAL OLEAN |
$158 | $65.62 | — | $59.06 | — | $25.63 | — | — | — |
| CUBA MEMORIAL HOSPITAL CUBA |
$158 | — | — | — | — | $58.36 | — | — | — |
| BROOKS-TLC HOSPITAL SYSTEM DUNKIRK |
$158 | — | — | $67.59 | — | $48.72 | $65.62 | — | — |
| ROCHESTER GENERAL HOSPITAL PORTLAND AVE ROCHESTER |
$159 | — | — | — | — | — | — | — | — |
| NEWARK-WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK |
$159 | — | — | — | — | — | — | — | — |
| CLIFTON SPRINGS HOSPITAL COULTER ROAD CLIFTON SPRINGS |
$159 | — | — | — | — | — | — | — | — |
| JAMAICA HOSPITAL MEDICAL CENTER JAMAICA |
$166 | $67.00 | $76.05 | $72.25 | $264 | — | $80.61 | $85.00 | — |
| HSS BROOKLYN BROOKLYN |
$169 | $140 | $72.84 | $56.55 | $159 | — | — | — | — |
| HOSPITAL FOR SPECIAL SURGERY NEW YORK |
$169 | $140 | $72.84 | $56.55 | $159 | — | — | — | — |
| HSS ASC OF MANHATTAN NEW YORK |
$169 | $140 | $72.84 | $56.55 | $159 | — | — | — | — |
| HSS WEST SIDE ASC NEW YORK |
$169 | $140 | $72.84 | $56.55 | $159 | — | — | — | — |
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 113 New York 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 New York, Medicare reimburses about $73.16 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New York range from $30.00 to $735 — that means hospital cash prices are typically 2.3x 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 New York?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in New York range from $30.00 to $735, 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 New York?
- The cheapest New York hospital published cash price for this procedure is $30.00. 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 New York
Methodology. Cash prices and insurance-negotiated rates published by each New York facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.