How much does physical therapy evaluation, moderate cost in Santa Fe, NM?
CPT 97162 — the fair price, every hospital's price, and the Medicare benchmark for Santa Fe, NM.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| CHRISTUS St. Vincent Regional Medical Center (Santa Fe) lowest | Hospital | $143negotiated | 1.5× | — |
| San Juan Regional Medical Center (Farmington) | Hospital | $234cash | 2.4× | — |
| Holy Cross Medical Center (Taos) | Hospital | $238cash | 2.4× | — |
| Los Alamos Medical Center (Los Alamos) | Hospital | $267cash | 2.7× | — |
| Presbyterian Espanola Hospital (Espanola) | Hospital | $399cash | 4.1× | — |
| Presbyterian Santa Fe Medical Center (Santa Fe) | Hospital | $399cash | 4.1× | — |
- 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 $266.76, and negotiated rates at nearby facilities run $211.67–$399.00. 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.
What should 97162 cost in Santa Fe, NM?
For physical therapy evaluation, moderate (CPT 97162) in Santa Fe, NM, a fair self-pay price is around $253, with hospitals ranging from $212 to $399 across 6 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 Santa Fe, NM?
A fair self-pay price for physical therapy evaluation, moderate (CPT 97162) in Santa Fe, NM is around $253, with hospital prices ranging from $212 to $399 across 6 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 Santa Fe, NM
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.