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Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Pennsylvania
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 80 Pennsylvania hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $132
📉 Low $48.80
📈 High $696
🏥 80 hospitals
🏛️ 61 with insurance contracts
🇺🇸 Medicare $67.07
Hospital comparison — Pennsylvania
Sorted by cash price (lowest first). Showing top 60 of 80 hospitals.
Billed more than $132 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Humana | Medicare | Medicaid | BCBS | Molina |
|---|---|---|---|---|---|---|---|---|---|
| CONEMAUGH NASON MEDICAL CENTER ROARING SPRING |
$48.80 | $47.77 | $100 | $41.20 | $100 | $100 | — | $100 | — |
| GUTHRIE TROY COMMUNITY HOSPITAL TROY |
$53.80 | — | — | — | — | — | — | — | — |
| CONEMAUGH MINERS MEDICAL CENTER HAIDA AVENUE HASTINGS |
$54.00 | $20.80 | $20.00 | $61.60 | — | — | — | $3.72 | — |
| CONEMAUGH MEYERSDALE MEDICAL CENTER HOSPITAL DRIVE MEYERSDALE |
$54.00 | $39.52 | $38.00 | $61.60 | — | — | — | $401 | — |
| HERITAGE VALLEY SEWICKLEY MCKEES ROCKS |
$56.16 | $43.12 | $56.06 | $64.58 | — | — | — | — | — |
| HERITAGE VALLEY BEAVER BEAVER |
$56.16 | $43.12 | $60.37 | $64.58 | — | — | — | — | — |
| WARREN GENERAL HOSPITAL CRESCENT PARK WEST WARREN |
$61.00 | $63.00 | $51.74 | $60.00 | $101 | — | — | $100 | — |
| LOWER BUCKS HOSPITAL BRISTOL |
$69.00 | — | $48.73 | $180 | $55.64 | $69.55 | $43.12 | $69.55 | — |
| SUBURBAN COMMUNITY HOSPITAL NORRISTOWN |
$69.00 | — | $48.73 | $180 | $55.64 | $69.55 | $43.12 | $69.55 | — |
| PENNSYLVANIA PSYCHIATRIC INSTITUTE HARRISBURG |
$72.07 | — | — | — | — | — | — | — | — |
| JEFFERSON FRANKFORD HOSPITAL PHILADELPHIA |
$79.98 | $74.29 | — | — | — | — | $58.34 | — | — |
| MAGEE REHABILITATION HOSPITAL PHILADELPHIA |
$79.98 | $56.96 | — | — | — | — | $77.18 | — | — |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL PHILADELPHIA |
$79.98 | $81.73 | — | — | — | — | $58.34 | — | — |
| JEFFERSON LANSDALE HOSPITAL LANSDALE |
$79.98 | $74.29 | — | — | — | — | $58.34 | — | — |
| JEFFERSON TORRESDALE HOSPITAL PHILADELPHIA |
$79.98 | $74.29 | — | — | — | — | $58.34 | — | — |
| JEFFERSON ABINGTON HOSPITAL ABINGTON |
$79.98 | $64.39 | $63.72 | — | — | — | $47.43 | — | — |
| JEFFERSON METHODIST HOSPITAL PHILADELPHIA |
$79.98 | $81.73 | — | — | — | — | $58.34 | — | — |
| JEFFERSON BUCKS HOSPITAL LANGHORNE |
$79.98 | $74.29 | — | — | — | — | $58.34 | — | — |
| FRICK HOSPITAL MT PLESANT |
$81.00 | — | — | — | — | — | — | — | — |
| LATROBE HOSPITAL LATROBE |
$81.00 | — | — | — | — | — | — | — | — |
| WESTMORELAND HOSPITAL GREEENSBURG |
$81.00 | — | — | — | — | — | — | — | — |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL EAST NORRITON |
$82.51 | $73.85 | $64.21 | $72.46 | $69.67 | — | — | — | — |
| JEFFERSON MOSS-MAGEE REHABILITATION HOSPITAL - ELKINS PARK ELKINS PARK |
$82.51 | $61.88 | $64.21 | $74.62 | $71.75 | — | — | — | — |
| FRED AND MINERVA BRAEMER HEART CENTER PHILADELPHIA |
$82.51 | $76.06 | $64.21 | $74.62 | $71.75 | — | — | — | — |
| MOUNT NITTANY MEDICAL CENTER STATE COLLEGE |
$82.80 | $64.93 | $66.23 | $64.93 | $66.23 | — | — | $67.53 | — |
| INDIANA REGIONAL MEDICAL CENTER INDIANA |
$83.88 | — | — | — | — | — | — | — | — |
| HOLY REDEEMER HOSPITAL MEADOWBROOK |
$87.60 | $74.59 | $105 | $74.59 | — | — | — | $30.30 | — |
| CLARION HOSPITAL CLARION |
$92.40 | $66.88 | $64.93 | $64.93 | — | $64.93 | $43.12 | — | — |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL |
$100 | — | — | — | — | — | — | — | — |
| ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL BENSALEM |
$101 | — | — | — | — | — | — | — | — |
| CONEMAUGH MEMORIAL HOSPITAL JOHNSTOWN |
$106 | $55.40 | $59.80 | $60.00 | — | — | — | $36.34 | — |
| PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER BERNVILLE ROAD READING |
$109 | — | — | — | — | — | — | — | — |
| FULTON COUNTY MEDICAL CENTER PEACH ORCHARD RD. MC CONNELLSBURG |
$113 | $46.00 | $90.00 | $90.00 | $66.82 | $100 | — | $40.00 | — |
| BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA |
$114 | $40.00 | $42.91 | $53.53 | $30.86 | $40.00 | $8.82 | — | — |
| BUTLER MEMORIAL HOSPITAL BUTLER |
$116 | $49.59 | $43.12 | $50.00 | $67.53 | $64.93 | $43.12 | — | — |
| UPMC WELLSBORO WELLSBORO |
$118 | — | — | — | — | — | — | — | — |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER STATE ROAD LANCASTER |
$122 | — | — | — | — | — | — | — | — |
| GOOD SHEPHERD REHABILITATION HOSPITAL CENTER VALLEY PARKWAY CENTER VALLEY |
$130 | $50.75 | $221 | $64.56 | $60.69 | $64.56 | — | $80.60 | — |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER ENOLA |
$132 | — | — | — | — | — | — | — | — |
| NAZARETH HOSPITAL PHILADELPHIA |
$138 | — | — | — | — | — | — | — | — |
| MERCY FITZGERALD HOSPITAL DARBY |
$138 | — | — | — | — | — | — | — | — |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL LEWISBURG |
$144 | $66.23 | $71.42 | — | $66.23 | $64.93 | $47.20 | — | — |
| WELLSPAN CHAMBERSBURG HOSPITAL CHAMBERSBURG |
$156 | $131 | $183 | $145 | — | — | $53.90 | — | — |
| WELLSPAN WAYNESBORO HOSPITAL WAYNESBORO |
$156 | $131 | $186 | $143 | — | — | $45.49 | — | — |
| BUCKTAIL MEDICAL CENTER RENOVO |
$168 | $135 | — | $80.00 | $157 | $63.29 | — | $234 | — |
| GUTHRIE ROBERT PACKER HOSPITAL SAYRE |
$176 | — | — | — | — | — | — | — | — |
| ST MARY MEDICAL CENTER LANGHORNE |
$178 | — | — | — | — | — | — | — | — |
| WAYNE MEMORIAL HOSPITAL PARK ST. HONESDALE |
$187 | $75.00 | $70.00 | $70.00 | $100 | — | — | $40.00 | — |
| WELLSPAN SURGERY AND REHABILITATION HOSPITAL YORK |
$192 | $66.88 | $68.18 | $215 | — | $64.93 | $53.90 | — | — |
| WELLSPAN YORK HOSPITAL YORK |
$192 | $66.88 | $68.18 | $214 | — | $64.93 | $53.90 | — | — |
| WELLSPAN YORK HOSPITAL YORK |
$192 | $66.88 | $68.18 | $214 | — | $64.93 | $53.90 | — | — |
| WELLSPAN GETTYSBURG HOSPITAL GETTYSBURG |
$192 | $67.54 | — | — | — | $65.73 | $53.90 | — | — |
| AHN ALLEGHENY VALLEY HOSPITAL NATRONA HEIGHTS |
$209 | $43.12 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| AHN FORBES HOSPITAL MONROEVILLE |
$212 | $51.74 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| AHN CANONSBURG GENERAL HOSPITAL CANONSBURG |
$212 | $43.12 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| AHN WEXFORD HOSPITAL WEXFORD |
$212 | $67.53 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| AHN BRENTWOOD NEIGHBORHOOD HOSPITAL GREENSBURG |
$216 | — | — | $129 | $201 | — | — | — | — |
| WEST PENN HOSPITAL PITTSBURGH |
$220 | $51.74 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| AHN GROVE CITY MEDICAL CENTER GROVE CITY |
$221 | $43.12 | $67.53 | $69.48 | $68.83 | $66.88 | — | — | $70.77 |
| ALLIED SERVICES SCRANTON REHAB HOSPITAL SCRANTON |
$223 | $64.90 | — | — | $64.90 | — | — | — | — |
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 $132 for this?
That is the median of what the 80 Pennsylvania 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 Pennsylvania, Medicare reimburses about $67.07 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Pennsylvania range from $48.80 to $696 — that means hospital cash prices are typically 2.0x 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 Pennsylvania?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Pennsylvania range from $48.80 to $696, with a median of $132. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Pennsylvania?
- The cheapest Pennsylvania hospital published cash price for this procedure is $48.80. 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 Pennsylvania
Methodology. Cash prices and insurance-negotiated rates published by each Pennsylvania facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.