How much does physical therapy evaluation, moderate cost in New Mexico?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for New Mexico.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Gerald Champion Regional Medical Center (Alamogordo) lowest | Hospital | $32negotiated | 0.3× | — |
| University of New Mexico Hospital (Albuquerque) | Hospital | $90cash | 0.9× | — |
| CHRISTUS St. Vincent Regional Medical Center (Santa Fe) | Hospital | $143negotiated | 1.5× | — |
| Covenant Health Hobbs Hospital (Hobbs) | Hospital | $162cash | 1.7× | — |
| Lovelace Regional Hospital (Roswell) | Hospital | $166cash | 1.7× | — |
| Rehoboth McKinley Christian Health Care (Gallup) | Hospital | $191cash | 1.9× | — |
| Presbyterian Kaseman Hospital (Albuquerque) | Hospital | $234cash | 2.4× | — |
| Presbyterian Hospital (Albuquerque) | Hospital | $234cash | 2.4× | — |
| Presbyterian Rust Medical Center (Rio Rancho) | Hospital | $234cash | 2.4× | — |
| San Juan Regional Medical Center (Farmington) | Hospital | $234cash | 2.4× | — |
| Holy Cross Medical Center (Taos) | Hospital | $238cash | 2.4× | — |
| Gila Regional Medical Center (Silver City) | Hospital | $264cash | 2.7× | — |
| Los Alamos Medical Center (Los Alamos) | Hospital | $267cash | 2.7× | — |
| Carlsbad Medical Center (Carlsbad) | Hospital | $269cash | 2.7× | — |
| Socorro General Hospital (Socorro) | Hospital | $278cash | 2.8× | — |
| Plains Regional Medical Center (Clovis) | Hospital | $279cash | 2.8× | — |
| Cibola General Hospital (Grants) | Hospital | $279cash | 2.9× | — |
| Mimbres Memorial Hospital (Deming) | Hospital | $280cash | 2.9× | — |
| Artesia General Hospital (Artesia) | Hospital | $293cash | 3.0× | — |
| Dr. Dan C. Trigg Memorial Hospital (Tucumcari) | Hospital | $315cash | 3.2× | — |
| MountainView Regional Medical Center (Las Cruces) | Hospital | $321cash | 3.3× | — |
| Lincoln County Medical Center (Ruidoso) | Hospital | $346cash | 3.5× | — |
| Lovelace Medical Center (Albuquerque) | Hospital | $369cash | 3.8× | — |
| Lovelace Westside Hospital (Albuquerque) | Hospital | $376cash | 3.8× | — |
| Lovelace Women's Hospital (Albuquerque) | Hospital | $376cash | 3.8× | — |
| Presbyterian Espanola Hospital (Espanola) | Hospital | $399cash | 4.1× | — |
| Presbyterian Santa Fe Medical Center (Santa Fe) | Hospital | $399cash | 4.1× | — |
| Nor-Lea Hospital District (Lovington) | Hospital | $415cash | 4.2× | — |
| Eastern New Mexico Medical Center (Roswell) | Hospital | $448cash | 4.6× | — |
| Memorial Medical Center (Las Cruces) gross charge | Hospital | $630cash | 6.4× | — |
- For 97162 (Physical therapy evaluation, moderate), Medicare's benchmark rate is $98.01. A fair self-pay target for this line is $196.02. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for 97162 is $278.97, and negotiated rates at nearby facilities run $234.50–$370.42. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 97162 cost in New Mexico?
For physical therapy evaluation, moderate (CPT 97162) in New Mexico, a fair self-pay price is around $278, with hospitals ranging from $234 to $370 across 30 facilities. Medicare's benchmark rate is $98, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does physical therapy evaluation, moderate cost in New Mexico?
A fair self-pay price for physical therapy evaluation, moderate (CPT 97162) in New Mexico is around $278, with hospital prices ranging from $234 to $370 across 30 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 97162?
Medicare pays about $98 for physical therapy evaluation, moderate (CPT 97162). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of physical therapy evaluation, moderate?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in New Mexico
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.