What does code 97164 cost?

Across the published hospital price files, the disclosed cash price for 97164 ranges from $30.00 to $482. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

97164 is the billing code hospitals use to identify "HC PHYSICAL THERAPY RE EVALUATION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

97164

HCPCS

HC PHYSICAL THERAPY RE EVALUATION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 97164 (HC PHYSICAL THERAPY RE EVALUATION) appears at 47 hospitals with disclosed cash prices from $30.00 to $482. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 97164 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 97164 vary by about 16× across the 46 hospitals with disclosed prices here — from $30.00 to $482. Shopping around can matter.

Hospitals

102

Prices shown

$30.00

Lowest cash

$482

Highest cash

code 97164 cash price99 disclosed · 46 hospitals

$30.00median ~$130$482

Lowest cash price by hospital

Advocate Condell Medical Center$30.00
Providence Cedars-Sinai Tarzana Medical Center$42.35
Henderson Hospital$49.80
Deaconess Gateway Hospital$54.78
Advocate Illinois Masonic Medical Center$70.00
Advocate South Suburban Hospital$70.00

Cash price by city

Reflects your current filters.

Cash price by city$30.00 – $222

Libertyville · 1 hospital$30.00–$120
Tarzana · 1 hospital$42.35–$52.85
Henderson · 1 hospital$49.80
Newburgh · 1 hospital$54.78
Chicago · 2 hospitals$70.00–$222
Hazel Crest · 1 hospital$70.00–$120

102 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC PHYSICAL THERAPY RE EVALUATION Inpatient & outpatient	Endeavor Health Edward Hospital	97164 HCPCS	$432	$432	—	—
Pt re-eval est plan care Outpatient	Endeavor Health Edward Hospital	97164 HCPCS	—	—	$68.90 – $140	—
Hc Re-Evaluation Established Plan Care Inpatient & outpatient	University of Chicago Medical Center	97164 HCPCS	—	—	—	—
Pt re-eval est plan care Outpatient	University of Chicago Medical Center	97164 HCPCS	—	—	—	—
PT RE EVAL PER 15 PA ONLY Outpatient	Advocate Illinois Masonic Medical Center	97164 CPT	$140	$70.00	$55.16 – $469	—
PHYSICAL THERAPY RE-EVAL Outpatient	Advocate Illinois Masonic Medical Center	97164 CPT	$240	$120	$94.56 – $469	—
HB PT RE-EVALUATION EST PLAN CARE 20 MINS Inpatient & outpatient	Endeavor Health Swedish Hospital	97164 HCPCS	$222	$222	—	—
PEDS PT RE-EVAL PER 15 PA ONLY Outpatient	Advocate Condell Medical Center	97164 CPT	$60.00	$30.00	$23.64 – $295	—
PEDS PT RE-EVALUATION Outpatient	Advocate Condell Medical Center	97164 CPT	$240	$120	$94.56 – $295	—
PHYSICAL THERAPY RE-EVAL Outpatient	Advocate Good Samaritan Hospital	97164 CPT	$240	$120	$94.56 – $469	—
PT RE EVAL PER 15 PA ONLY Outpatient	Advocate South Suburban Hospital	97164 CPT	$140	$70.00	$55.16 – $469	—
PHYSICAL THERAPY RE-EVAL Outpatient	Advocate South Suburban Hospital	97164 CPT	$240	$120	$94.56 – $469	—
HC PT RE EVALUATION 30 MIN Inpatient	Deaconess Gateway Hospital	97164 CPT	$166	$54.78	$54.78 – $146	$177
HC PT RE EVALUATION 15 MIN Inpatient	Deaconess Gateway Hospital	97164 CPT	$166	$54.78	$54.78 – $146	$177
PT 97164 THERAPY REEVALUATION Inpatient	Memorial Hospital of South Bend	97164 CPT	$492	$320	$98.40 – $403	—
HC RE-EVALUATION PHYSICAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Hospital	97164 CPT	$227	$125	$65.63 – $384	—
HC TELEHEALTH RE-EVALUATION PHYSICAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Hospital	97164 CPT	$254	$140	$65.63 – $384	—
HC RE-EVALUATION PHYSICAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Menomonee Falls Hospital	97164 CPT	$247	$136	$65.63 – $370	—
PHYSICAL THERAPY RE-EVAL Inpatient	Aurora BayCare Medical Center	97164 CPT	$250	$125	$150 – $213	—
PHYSICAL THERAPY RE-EVAL Inpatient	Aurora Medical Center Burlington	97164 CPT	$250	$125	$150 – $213	—
97164 RE-EVAL MMC 20 MIN OT IP Inpatient	Munson Healthcare Charlevoix Hospital	97164 CPT	$144	$122	$115 – $144	—
97164 RE-EVAL MMC 20 MIN PT IP Inpatient	Munson Healthcare Charlevoix Hospital	97164 CPT	$144	$122	$115 – $144	—
Re-Eval MMC 20 Min - PT MMC Inpatient	Munson Healthcare Charlevoix Hospital	97164 CPT	$144	$122	$115 – $144	—
Re-evaluation - PT Untimed Charges Inpatient	Munson Healthcare Charlevoix Hospital	97164 CPT	$144	$122	$115 – $144	—
PT 97164 PTM RE-EVALUATION 20 MIN Inpatient	Munson Healthcare Charlevoix Hospital	97164 CPT	$144	$122	$115 – $144	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 97164 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Deaconess Gateway Hospital Memorial Hospital of South Bend Froedtert Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Froedtert Community Hospital - New Berlin Froedtert Community Hospital - Oak Creek Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Cadillac Henderson Hospital Deaconess Gibson Hospital Deaconess Union County Hospital Deaconess Illinois Medical Center Community Hospital of Bremen Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Providence Seward Hospital Providence Valdez Medical Center St Elias Specialty Hospital Healdsburg Hospital Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro Providence Little Company of Mary Med Center Torrance Providence Saint John's Health Center Providence Saint Joseph Medical Center Providence St Joseph Medical Center

Code 97164: frequently asked

What does code 97164 cost?: Across the published hospital price files, the disclosed cash price for 97164 ranges from $30.00 to $482. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 97164?: 97164 is the billing code hospitals use to identify "HC PHYSICAL THERAPY RE EVALUATION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 97164 by state

Alaska hospital prices California hospital prices Illinois hospital prices Indiana hospital prices Kentucky hospital prices Michigan hospital prices Montana hospital prices Wisconsin hospital prices