How much does physical therapy evaluation, moderate cost in Utah?

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

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
$196
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
What Medicare paysⓘ
$98
Typical price near you
$283
Cash / self-pay price
$316
Prices near you — 33 facilities, lowest first
FacilityTypePricevs MedicareQuality
Moab Regional Hospital (Moab) lowest Hospital $115cash 1.2× —
Mountain West Medical Center (Tooele) Hospital $130cash 1.3× ★★★★★
Castleview Hospital (Price) Hospital $150cash 1.5× ★★★★★
Holy Cross Hospital - Mountain Point (Lehi) Hospital $153cash 1.6× —
Holy Cross Hospital - Jordan Valley (West Jordan) Hospital $153cash 1.6× ★★★★★
Holy Cross Hospital - Salt Lake (Salt Lake City) Hospital $153cash 1.6× ★★★★★
Holy Cross Hospital - Davis (Layton) Hospital $153cash 1.6× ★★★★★
San Juan Hospital (Monticello) Hospital $169cash 1.7× —
Mountain View Hospital (Payson) Hospital $193cash 2.0× ★★★★★
Kane County Hospital (Kanab) Hospital $202negotiated 2.1× —
Uintah Basin Medical Center (Roosevelt) Hospital $212cash 2.2× ★★★★★
Ashley Regional Medical Center (Vernal) Hospital $266cash 2.7× ★★★★★
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. 1 unusually low/high price excluded from the typical price as likely data errors.
💬 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 $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 $316.44, and negotiated rates at nearby facilities run $180.78–$333.39. 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.
See physical therapy evaluation, moderate prices in another area
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What should 97162 cost in Utah?

For physical therapy evaluation, moderate (CPT 97162) in Utah, a fair self-pay price is around $283, with hospitals ranging from $181 to $333 across 33 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 Utah?

A fair self-pay price for physical therapy evaluation, moderate (CPT 97162) in Utah is around $283, with hospital prices ranging from $181 to $333 across 33 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.