Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Vermont
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 7 Vermont hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Vermont
Sorted by cash price (lowest first). Showing top 7 of 7 hospitals.
| Hospital | Cash | UHC | Aetna | Cigna | BCBS | Humana | Centene | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWESTERN MEDICAL CENTER SAINT ALBANS |
$114 | $67.04 | $67.04 | $67.04 | — | $67.04 | — | — | $67.04 |
| BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO |
$125 | $67.04 | $173 | $67.04 | $60.04 | $67.04 | $70.39 | $80.45 | — |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL ST. JOHNSBURY |
$190 | $240 | — | — | $93.81 | — | — | — | — |
| SPRINGFIELD HOSPITAL SPRINGFIELD |
$201 | $102 | $255 | $188 | $268 | — | $105 | $222 | — |
| RUTLAND REGIONAL MEDICAL CENTER RUTLAND |
$238 | — | — | — | — | — | — | — | — |
| MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER WINDSOR |
$243 | $289 | $289 | $283 | $271 | — | — | — | — |
| UNIVERSITY OF VERMONT MEDICAL CENTER BURLINGTON |
$282 | $42.00 | $67.04 | $256 | $68.38 | $67.04 | $77.10 | — | — |
That is the median of what the 7 Vermont 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 Vermont, Medicare reimburses about $66.95 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Vermont range from $114 to $282 — that means hospital cash prices are typically 3.0x 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 Vermont?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Vermont range from $114 to $282, with a median of $201. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Vermont?
- The cheapest Vermont hospital published cash price for this procedure is $114. 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.