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Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Wisconsin
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 79 Wisconsin hospitals. CPT 97164. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $137
📉 Low $39.75
📈 High $456
🏥 79 hospitals
🏛️ 50 with insurance contracts
🇺🇸 Medicare $65.77
Hospital comparison — Wisconsin
Sorted by cash price (lowest first). Showing top 60 of 79 hospitals.
Billed more than $137 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Molina | Humana | MultiPlan | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| ASCENSION SACRED HEART REHABILITATION HOSPITAL MEQUON |
$39.75 | — | $71.80 | — | — | $71.80 | — | — | — |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER - JANESVILLE JANESVILLE |
$41.83 | $65.77 | — | — | — | — | — | — | — |
| HSHS ST. NICHOLAS HOSPITAL SHEBOYGAN |
$77.22 | $65.77 | $65.77 | $81.90 | $58.50 | $65.77 | $98.28 | $111 | $117 |
| HSHS ST CLARE MEMORIAL HOSPITAL OCONTO FALLS |
$77.22 | $28.08 | $28.08 | $73.13 | $28.08 | $28.08 | $104 | $111 | $117 |
| HSHS ST. VINCENT'S HOSPITAL GREEN BAY |
$77.22 | $65.77 | $65.77 | $81.90 | $58.50 | $65.77 | $98.28 | $111 | $117 |
| HSHS ST. MARY'S HOSPITAL GREEN BAY |
$77.22 | $65.77 | $65.77 | $81.90 | $58.50 | $65.77 | $98.28 | $111 | $117 |
| AMERY HOSPITAL AMERY |
$88.12 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. AGNES HOSPITAL - FOND DU LAC FOND DU LAC |
$91.30 | — | — | — | — | — | — | — | — |
| SSM HEALTH RIPON COMMUNITY HOSPITAL RIPON |
$91.30 | — | — | — | — | — | — | — | — |
| SSM HEALTH WAUPUN MEMORIAL HOSPITAL WAUPUN |
$91.30 | — | — | — | — | — | — | — | — |
| HOLY FAMILY MEMORIAL MANITOWOC |
$95.15 | — | $65.63 | $125 | $65.63 | $65.63 | $138 | $152 | $104 |
| OSCEOLA MEDICAL CENTER OSCEOLA |
$105 | $85.00 | $70.00 | — | — | $34.00 | — | — | — |
| SSM HEALTH ST MARYS HOSPITAL JANESVILLE JANESVILLE |
$109 | — | — | — | — | — | — | — | — |
| FROEDTERT COMMUNITY HOSPITAL - MEQUON MEQUON |
$116 | — | $65.63 | $123 | $65.63 | $65.63 | $183 | $185 | $126 |
| FROEDTERT COMMUNITY HOSPITAL - NEW BERLIN NEW BERLIN |
$116 | — | $65.63 | $123 | $65.63 | $65.63 | $183 | $185 | $126 |
| FROEDTERT COMMUNITY HOSPITAL OAK CREEK OAK CREEK |
$116 | — | $65.63 | $123 | $65.63 | $65.63 | $183 | $185 | $126 |
| FROEDTERT COMMUNITY HOSPITAL - PEWAUKEE PEWAUKEE |
$116 | — | $65.63 | $123 | $65.63 | $65.63 | $183 | $185 | $126 |
| FROEDTERT BLUEMOUND REHABILITATION HOSPITAL WAUWATOSA |
$125 | $66.94 | $65.63 | $177 | $65.63 | $65.63 | $182 | $196 | $298 |
| FROEDTERT HOSPITAL MILWAUKEE |
$125 | $66.94 | $65.63 | $177 | $65.63 | $65.63 | $182 | $196 | $298 |
| AURORA MEDICAL CENTER MOUNT PLEASANT MOUNT PLEASANT |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA BAYCARE MEDICAL CENTER GREEN BAY |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER SHEBOYGAN SHEBOYGAN |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER BAY AREA MARINETTE |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA ST LUKES MEDICAL CENTER MILWAUKEE |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER MANITOWOC COUNTY TWO RIVERS |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER OSHKOSH OSHKOSH |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA WEST ALLIS MEDICAL CENTER WEST ALLIS |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER GRAFTON GRAFTON |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER KENOSHA KENOSHA |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER BURLINGTON BURLINGTON |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER FOND DU LAC FOND DU LAC |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA SINAI MEDICAL CENTER MILWAUKEE |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER WASHINGTON COUNTY HARTFORD |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA ST. LUKE'S SOUTH SHORE CUDAHY |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA MEDICAL CENTER SUMMIT SUMMIT |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| AURORA LAKELAND MEDICAL CENTER ELKHORN |
$125 | $206 | $210 | $212 | $266 | — | — | — | — |
| MEMORIAL HOSPITAL OF LAFAYETTE COUNTY DARLINGTON |
$130 | $76.16 | $76.16 | — | — | $76.16 | — | — | — |
| FROEDTERT WEST BEND HOSPITAL WEST BEND |
$136 | $66.94 | $65.63 | $235 | $65.63 | $65.63 | $215 | $217 | $397 |
| FROEDTERT MENOMONEE FALLS HOSPITAL MENOMONEE FALLS |
$136 | $66.94 | $65.63 | $217 | — | $65.63 | $215 | $217 | $294 |
| ESSENTIA HEALTH ST. MARY'S HOSPITAL-SUPERIOR TOWER AVE SUPERIOR |
$137 | $158 | $59.52 | $145 | — | — | — | — | — |
| EDGERTON HOSPITAL WHITEWATER CLINIC SUITE C |
$139 | $55.00 | — | — | — | — | — | — | — |
| EDGERTON HOSPITAL FULTON SQUARE CLINIC EDGERTON |
$139 | $55.00 | $60.00 | — | — | — | — | — | — |
| PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL OCONOMOWOC |
$140 | $211 | $62.66 | $187 | — | — | $235 | $214 | — |
| PROHEALTH MUKWONAGO HOSPITAL WAUKESHA |
$140 | $203 | $62.66 | $187 | — | — | $235 | $214 | — |
| PROHEALTH WAUKESHA MEMORIAL HOSPITAL WAUKESHA |
$140 | $203 | $62.66 | $187 | — | — | $235 | $214 | — |
| ASCENSION CALUMET HOSPITAL CHILTON |
$142 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL - MADISON MADISON |
$142 | — | — | — | — | — | — | — | — |
| SSM HEALTH MONROE HOSPITAL MONROE |
$146 | — | — | — | — | — | — | — | — |
| SAUK PRAIRIE HOSPITAL PRAIRIE DU SAC |
$147 | — | $65.63 | — | — | $65.63 | — | — | — |
| ASPIRUS WISCONSIN RAPIDS HOSPITAL WISCONSIN RAPIDS |
$149 | $65.77 | — | — | — | — | — | — | — |
| ASPIRUS PLOVER HOSPITAL STEVENS POINT |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS DIVINE SAVIOR HOSPITAL PORTAGE |
$149 | $65.77 | — | — | — | — | — | — | — |
| ASPIRUS MERRILL HOSPITAL MERRILL |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS WAUSAU HOSPITAL WAUSAU |
$149 | $65.77 | — | — | — | — | — | — | — |
| ASPIRUS LANGLADE HOSPITAL ANTIGO |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS STANLEY HOSPITAL STANLEY |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS RHINELANDER HOSPITAL RHINELANDER |
$149 | $65.77 | — | — | — | — | — | — | — |
| ASPIRUS TOMAHAWK HOSPITAL TOMAHAWK |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS MEDFORD HOSPITAL & CLINICS, INC MEDFORD |
$149 | — | — | — | — | — | — | — | — |
| ASPIRUS STEVENS POINT HOSPITAL STEVENS POINT |
$149 | $65.77 | — | — | — | — | — | — | — |
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 $137 for this?
That is the median of what the 79 Wisconsin 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 Wisconsin, Medicare reimburses about $65.77 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Wisconsin range from $39.75 to $456 — that means hospital cash prices are typically 2.1x 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 Wisconsin?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Wisconsin range from $39.75 to $456, with a median of $137. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Wisconsin?
- The cheapest Wisconsin hospital published cash price for this procedure is $39.75. 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 Wisconsin
Methodology. Cash prices and insurance-negotiated rates published by each Wisconsin facility under federal price transparency rules (45 CFR § 180). CPT code 97164 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.