How much does physical therapy evaluation, moderate cost in Phoenix, AZ?

CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Phoenix, AZ.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
97162 Physical therapy evaluation, moderate
Ask to pay
$168
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
$98
Typical price near you
$187
Cash / self-pay price
$168
Prices near you — 27 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner Payson Medical Center (Payson) lowest Hospital $41cash 0.4× —
Banner Heart Hospital (Mesa) Hospital $88cash 0.9× ★★★★★
Banner – University Medical Center Phoenix Hospital $97cash 1.0× ★★★★★
Banner Desert Medical Center (Mesa) Hospital $99cash 1.0× ★★★★★
Banner Estrella Medical Center (Phoenix) Hospital $106cash 1.1× ★★★★★
Banner Thunderbird Medical Center (Glendale) Hospital $108cash 1.1× ★★★★★
Banner Del E. Webb Medical Center (Sun City West) Hospital $113cash 1.2× ★★★★★
Banner Boswell Medical Center (Sun City) Hospital $118cash 1.2× ★★★★★
Banner Baywood Medical Center (Mesa) Hospital $125cash 1.3× ★★★★★
Banner Casa Grande Medical Center (Casa Grande) Hospital $130cash 1.3× —
Banner Ironwood Medical Center (San Tan Valley) Hospital $140cash 1.4× ★★★★★
Valleywise Health Medical Center Hospital $145cash 1.5× ★★★★★
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
💬 What to say — negotiation scripts
  • For 97162 (Physical therapy evaluation, moderate), Medicare's benchmark rate is $98.01. A fair self-pay target for this line is $168.22. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for 97162 is $168.22, and negotiated rates at nearby facilities run $113.48–$864.00. 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.
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What should 97162 cost in Phoenix, AZ?

For physical therapy evaluation, moderate (CPT 97162) in Phoenix, AZ, a fair self-pay price is around $187, with hospitals ranging from $113 to $864 across 27 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 Phoenix, AZ?

A fair self-pay price for physical therapy evaluation, moderate (CPT 97162) in Phoenix, AZ is around $187, with hospital prices ranging from $113 to $864 across 27 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.

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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.