# Physical therapy evaluation, high complexity in GA

Billing code `97163`. Prices for this code at 103 hospitals in GA, taken from the machine-readable standard charge files each hospital is required to publish under the CMS Hospital Price Transparency Rule (45 CFR 180.50).

Source page: https://clearcharge.org/price/ga/physical-therapy-evaluation-high-complexity

HC PT EVAL HIGH COMPLEX 45 MIN

## Before quoting any figure below

- **Hospital charges only.** The surgeon, anaesthetist, radiologist and pathologist bill separately and appear in no hospital price file, by construction. Every figure below is part of a total, never the total.
- **A negotiated rate is not a bill.** It is what a hospital and an insurer agreed. What a patient owes depends on their deductible, coinsurance and out-of-pocket maximum.
- **Each hospital's figure is a median across its own plans.** The spread inside one hospital is often wider than the gap between two of them.
- **"not mentioned" is not $0.** It means this hospital's file does not label a row that way. Silence is not a statement that the charge does not exist.
- **A hospital absent from the table says nothing about its prices.** It may publish this code under a revenue or drug code this site cannot map to a procedure.

A procedure code is billed twice -- once by the hospital for its own costs, once by the doctor for their work -- and hospitals publish different sides of that split under the same code. Of the hospitals here, 39 publish a facility charge; 8 publish both, mixed together; 56 do not label which half the figure is.

## Typical price

|  | Amount |
|---|---|
| Cheapest tenth | $95 |
| Typical | $141 |
| Dearest tenth | $419 |

The cheapest and dearest tenth are the hospitals a tenth of the way in from each end, not the single cheapest and dearest. Every hospital, including both extremes, is in the table below.

That is a 4-fold difference for the same billing code -- a gap between hospitals, not between treatments.

## Every hospital publishing this code

| Hospital | Where | CMS rating | Typical | Facility charge | Physician fee | Self-pay | Lowest | Highest | Plans on file |
|---|---|---|---|---|---|---|---|---|---|
| Liberty Regional Medical Center | HINESVILLE | not rated | $42 | not mentioned | not mentioned | $187 | $40 | $187 | 6 |
| Jeff Davis Hospital | HAZLEHURST | not rated | $55 | not mentioned | not mentioned | $56 | $27 | $122 | 38 |
| Putnam General Hospital | EATONTON | not rated | $78 | not mentioned | not mentioned | $75 | $72 | $128 | 13 |
| St Mary's Hospital | ATHENS | 1/5 | see split | $93 | $79 | $308 | $62 | $450 | 1,325 |
| Jefferson Hospital | LOUISVILLE | not rated | $83 | not mentioned | not mentioned | $74 | $54 | $114 | 40 |
| Jasper Memorial Hospital | MONTICELLO | not rated | $85 | not mentioned | not mentioned | $175 | $54 | $90 | 19 |
| Ty Cobb Regional Medical Center | LAVONIA | 3/5 | $93 | $93 | not mentioned | $186 | $51 | $450 | 107 |
| Optim Medical Center - Screven | SYLVANIA | not rated | $94 | $94 | not mentioned | $215 | $93 | $139 | 6 |
| Memorial Health Meadows Hospital | VIDALIA | 5/5 | $94 | not mentioned | not mentioned | $617 | $53 | $555 | 57 |
| Memorial Satilla Health | WAYCROSS | 3/5 | $94 | not mentioned | not mentioned | $906 | $82 | $815 | 52 |
| Candler Hospital | SAVANNAH | 2/5 | $95 | $95 | not mentioned | $177 | $93 | $181 | 5 |
| St Joseph's Hospital - Savannah | SAVANNAH | 2/5 | $95 | $95 | not mentioned | $177 | $93 | $181 | 5 |
| AdventHealth Gordon | CALHOUN | 3/5 | $95 | $95 | not mentioned | $893 | $91 | $184 | 6 |
| Northeast Georgia Medical Center | GAINESVILLE | 3/5 | $95 | $95 | not mentioned | $111 | $93 | $98 | 4 |
| AdventHealth Murray | CHATSWORTH | 5/5 | $96 | $96 | not mentioned | $893 | $93 | $184 | 5 |
| St Francis Hospital- Emory Healthcare | COLUMBUS | 3/5 | $97 | $97 | not mentioned | not published | $93 | $232 | 8 |
| Phoebe Putney Memorial Hospital | ALBANY | 2/5 | $98 | $98 | not mentioned | not published | $93 | $163 | 7 |
| AdventHealth Redmond | ROME | 4/5 | $98 | $98 | not mentioned | $885 | $93 | $258 | 5 |
| Phoebe Sumter Medical Center | AMERICUS | 3/5 | $98 | $98 | not mentioned | not published | $93 | $163 | 7 |
| Emory Houston Hospital Warner Robins | WARNER ROBINS | 2/5 | $98 | $98 | not mentioned | not published | $93 | $226 | 10 |
| Emory Hillandale Hospital | LITHONIA | 1/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 11 |
| Emory University Hospital | ATLANTA | 4/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 13 |
| Emory Johns Creek Hospital | JOHNS CREEK | 4/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 13 |
| Emory Decatur Hospital | DECATUR | 2/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 13 |
| Emory University Hospital Midtown | ATLANTA | 2/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 13 |
| Saint Joseph's Hospital of Atlanta | ATLANTA | 3/5 | $99 | $99 | not mentioned | $551 | $93 | $226 | 13 |
| WellStar Douglas Medical Center | DOUGLASVILLE | 3/5 | $99 | $99 | not mentioned | $146 | $93 | $182 | 7 |
| WellStar Paulding Medical Center | HIRAM | 4/5 | $99 | $99 | not mentioned | $146 | $93 | $182 | 7 |
| WellStar Kennestone Regional Medical Center | MARIETTA | 4/5 | $99 | $99 | not mentioned | $146 | $93 | $182 | 7 |
| WellStar Cobb Medical Center | AUSTELL | 3/5 | $99 | $99 | not mentioned | $146 | $93 | $182 | 7 |
| WellStar North Fulton Medical Center | ROSWELL | 2/5 | $99 | $99 | not mentioned | $146 | $93 | $182 | 7 |
| Tanner Medical Center - Carrollton | CARROLLTON | 2/5 | $102 | $102 | not mentioned | $137 | $99 | $109 | 20 |
| Southern Regional Medical Center | RIVERDALE | 1/5 | $102 | not mentioned | not mentioned | $98 | $66 | $571 | 44 |
| SGMC Health | VALDOSTA | 2/5 | $102 | $102 | not mentioned | $511 | $74 | $121 | 4 |
| Grady Memorial Hospital | ATLANTA | 2/5 | see split | $181 | $98 | $806 | $69 | $645 | 71 |
| Bacon County Hospital | ALMA | not rated | $107 | $107 | not mentioned | $246 | $13 | $130 | 4 |
| SGMC Berrien Campus | NASHVILLE | not rated | $112 | $112 | not mentioned | $511 | $93 | $139 | 3 |
| WellStar MCG Health, Affiliated with Med Col | AUGUSTA | 1/5 | $114 | $114 | not mentioned | $146 | $93 | $182 | 12 |
| Union General Hospital | BLAIRSVILLE | 3/5 | $114 | not mentioned | not mentioned | $135 | $38 | $230 | 18 |
| Clinch Memorial Hospital | HOMERVILLE | not rated | $123 | $123 | not mentioned | $65 | $103 | $129 | 80 |
| Blue Ridge Medical Center | BLUE RIDGE | not rated | $126 | not mentioned | not mentioned | $434 | $67 | $724 | 964 |
| Navicent Health Baldwin | MILLEDGEVILLE | 2/5 | see split | $295 | $95 | $196 | $93 | $334 | 44 |
| WellStar Spalding Medical Center | GRIFFIN | 2/5 | $129 | $129 | not mentioned | $146 | $93 | $182 | 8 |
| WellStar West Georgia Medical Center | LAGRANGE | 5/5 | $129 | $129 | not mentioned | $146 | $93 | $182 | 8 |
| Effingham Health System | SPRINGFIELD | not rated | $131 | not mentioned | not mentioned | $304 | $125 | $444 | 13 |
| Appling Healthcare | BAXLEY | not rated | $133 | not mentioned | not mentioned | $121 | $90 | $141 | 6 |
| Monroe County Hospital | FORSYTH | not rated | $134 | not mentioned | not mentioned | $40 | $30 | $358 | 25 |
| Southwell Medical, a Campus of TRMC | ADEL | not rated | see split | $114 | $139 | $213 | $33 | $426 | 92 |
| Dodge County Hospital | EASTMAN | not rated | $135 | not mentioned | not mentioned | not published | $44 | $224 | 18 |
| Taylor Regional Hospital | HAWKINSVILLE | not rated | $136 | $136 | not mentioned | $361 | $67 | $136 | 5 |
| Chatuge Regional Hospital | HIAWASSEE | not rated | $140 | not mentioned | not mentioned | $132 | $58 | $225 | 18 |
| Atrium Health Floyd Polk Medical Center | CEDARTOWN | not rated | $141 | $141 | not mentioned | $188 | $51 | $338 | 36 |
| Atrium Health Navicent Peach | BYRON | 1/5 | see split | $170 | $109 | $130 | $55 | $243 | 46 |
| Crisp Regional Hospital | CORDELE | 2/5 | $146 | $146 | not mentioned | $232 | $121 | $158 | 3 |
| Wayne Memorial Hospital | JESUP | 3/5 | $147 | not mentioned | not mentioned | $96 | $119 | $174 | 18 |
| Tift Regional Medical Center | TIFTON | 3/5 | see split | $152 | $148 | $213 | $70 | $426 | 46 |
| Memorial Hospital and Manor | BAINBRIDGE | 1/5 | $151 | not mentioned | not mentioned | $137 | $88 | $450 | 24 |
| Southeast Georgia Health System -- Camden Campus | SAINT MARYS | 4/5 | $167 | not mentioned | not mentioned | not published | $69 | $243 | 32 |
| Southeast Georgia Health System- Brunswick Campus | BRUNSWICK | 2/5 | $167 | not mentioned | not mentioned | not published | $69 | $243 | 32 |
| East Georgia Regional Medical Center | STATESBORO | 3/5 | $168 | $168 | not mentioned | $231 | $38 | $900 | 98 |
| Doctors Hospital | AUGUSTA | 3/5 | $170 | not mentioned | not mentioned | $879 | $61 | $791 | 187 |
| Donalsonville Hospital | DONALSONVILLE | not rated | $175 | not mentioned | not mentioned | $175 | $130 | $175 | 7 |
| Tanner Medical Center Villa Rica | VILLA RICA | 3/5 | $182 | not mentioned | not mentioned | $182 | $66 | $283 | 17 |
| Wills Memorial Hospital | WASHINGTON | not rated | $183 | not mentioned | not mentioned | $204 | $180 | $247 | 14 |
| Optim Medical Center - Tattnall | REIDSVILLE | not rated | $184 | $184 | not mentioned | $215 | $184 | $184 | 1 |
| Candler County Hospital | METTER | not rated | $184 | not mentioned | not mentioned | not published | $64 | $239 | 16 |
| Memorial Health University Medical Center | SAVANNAH | 1/5 | $189 | not mentioned | not mentioned | $1,050 | $61 | $945 | 117 |
| Atrium Health Floyd Medical Center | ROME | 2/5 | $195 | $195 | not mentioned | $260 | $88 | $441 | 38 |
| Stephens County Hospital | TOCCOA | 2/5 | $200 | not mentioned | not mentioned | $146 | $78 | $243 | 10 |
| Atrium Health Navicent the Medical Center | MACON | 2/5 | see split | $323 | $95 | $294 | $93 | $546 | 45 |
| Mountain Lakes Medical Center | CLAYTON | not rated | $212 | $212 | not mentioned | $149 | $125 | $2,058 | 8 |
| University Mcduffie County Regional Medical Center | THOMSON | not rated | $214 | not mentioned | not mentioned | $161 | $86 | $482 | 18 |
| Piedmont Augusta Hospital | AUGUSTA | 2/5 | $225 | not mentioned | not mentioned | $161 | $60 | $482 | 24 |
| Coffee Regional Medical Center | DOUGLAS | 3/5 | see split | $287 | $109 | $294 | $82 | $411 | 104 |
| Evans Memorial Hospital | CLAXTON | not rated | $239 | not mentioned | not mentioned | not published | $63 | $348 | 10 |
| St Marys Good Samaritan Hospital | GREENSBORO | 4/5 | $248 | $248 | not mentioned | $228 | $69 | $315 | 108 |
| Chi Memorial Hospital- Georgia | RINGGOLD | 3/5 | $265 | not mentioned | not mentioned | $197 | $84 | $540 | 36 |
| Fairview Park Hospital | DUBLIN | 4/5 | $286 | not mentioned | not mentioned | $1,432 | $79 | $1,289 | 103 |
| Washington County Regional Medical Center | SANDERSVILLE | not rated | $342 | not mentioned | not mentioned | $244 | $93 | $424 | 23 |
| Piedmont Columbus Regional Northside | COLUMBUS | 5/5 | $345 | not mentioned | not mentioned | $161 | $62 | $455 | 19 |
| Piedmont Columbus Regional Midtown | COLUMBUS | 2/5 | $345 | not mentioned | not mentioned | $161 | $77 | $465 | 20 |
| Colquitt Regional Medical Center | MOULTRIE | 4/5 | $361 | not mentioned | not mentioned | $383 | $103 | $383 | 42 |
| Piedmont Newton Hospital | COVINGTON | 3/5 | $371 | not mentioned | not mentioned | $208 | $68 | $590 | 17 |
| Piedmont Macon North Hospital | MACON | 4/5 | $371 | not mentioned | not mentioned | $208 | $64 | $625 | 17 |
| Piedmont Rockdale Hospital | CONYERS | 3/5 | $384 | not mentioned | not mentioned | $208 | $84 | $521 | 18 |
| Piedmont Cartersville Medical Center | CARTERSVILLE | 3/5 | $412 | not mentioned | not mentioned | $208 | $82 | $625 | 19 |
| Piedmont Athens Regional Medical Center | ATHENS | 4/5 | $412 | not mentioned | not mentioned | $208 | $74 | $570 | 19 |
| Piedmont Eastside Medical Center | SNELLVILLE | 2/5 | $414 | not mentioned | not mentioned | $208 | $135 | $625 | 18 |
| Piedmont Newnan Hospital | NEWNAN | 4/5 | $415 | not mentioned | not mentioned | $208 | $65 | $646 | 18 |
| Coliseum Medical Centers | MACON | 3/5 | $417 | not mentioned | not mentioned | $208 | $48 | $625 | 17 |
| Piedmont Henry Hospital | STOCKBRIDGE | 2/5 | $419 | not mentioned | not mentioned | $208 | $59 | $590 | 18 |
| Piedmont Fayette Hospital | FAYETTEVILLE | 3/5 | $419 | not mentioned | not mentioned | $208 | $64 | $590 | 18 |
| Piedmont Hospital | ATLANTA | 4/5 | $419 | not mentioned | not mentioned | $208 | $79 | $590 | 18 |
| Piedmont Mountainside Hospital | JASPER | 4/5 | $426 | not mentioned | not mentioned | $208 | $75 | $590 | 15 |
| Piedmont Walton Hospital | MONROE | 4/5 | $426 | not mentioned | not mentioned | $208 | $62 | $625 | 15 |
| Northside Hospital | ATLANTA | 3/5 | $481 | not mentioned | not mentioned | $592 | $75 | $789 | 992 |
| Northside Hospital Forsyth | CUMMING | 4/5 | $489 | not mentioned | not mentioned | $592 | $75 | $789 | 984 |
| Northside Hospital Cherokee | CANTON | 4/5 | $489 | not mentioned | not mentioned | $592 | $75 | $789 | 1,000 |
| Northside Hospital Duluth | DULUTH | 4/5 | $497 | not mentioned | not mentioned | $592 | $75 | $789 | 1,040 |
| Northside Hospital Gwinnett | LAWRENCEVILLE | 3/5 | $497 | not mentioned | not mentioned | $592 | $75 | $789 | 1,040 |
| Morgan Medical Center | MADISON | not rated | $520 | not mentioned | not mentioned | not published | $100 | $520 | 8 |
| Children's Healthcare of Atlanta at Scottish Rite | ATLANTA | not rated | $1,084 | not mentioned | not mentioned | $1,582 | $661 | $1,582 | 28 |
| Athur M Blank Hospital | ATLANTA | not rated | $1,084 | not mentioned | not mentioned | $1,582 | $676 | $1,582 | 28 |

## Self-pay

Self-pay is what the hospital charges someone paying themselves rather than through insurance. Paying self-pay usually does not count toward a deductible, so it can cost less for one service and more across a year. Every other figure here is what an insurer pays, not what a patient would.

At 32 of the 93 hospitals here that publish a self-pay price it is LOWER than what that same hospital typically accepts from an insurer; at the other 61 it is higher.

7 of these 103 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Jeff Davis Hospital, Jefferson Hospital, Monroe County Hospital, Southeast Georgia Health System -- Camden Campus, Southeast Georgia Health System- Brunswick Campus, Donalsonville Hospital, Tanner Medical Center Villa Rica.

## Others in physical & occupational therapy

- [Therapeutic exercise, 15 minutes](https://clearcharge.org/price/ga/therapeutic-exercise-15-minutes) -- 107 hospitals, typically $53
- [Hands-on manual therapy, 15 minutes](https://clearcharge.org/price/ga/hands-on-manual-therapy-15-minutes) -- 107 hospitals, typically $57
- [Neuromuscular retraining, 15 minutes](https://clearcharge.org/price/ga/neuromuscular-retraining-15-minutes) -- 105 hospitals, typically $52
- [Walking and gait training, 15 minutes](https://clearcharge.org/price/ga/walking-and-gait-training-15-minutes) -- 105 hospitals, typically $44
- [Therapy using everyday activities, 15 minutes](https://clearcharge.org/price/ga/therapy-using-everyday-activities-15-minutes) -- 105 hospitals, typically $57
- [Self-care and daily living training, 15 minutes](https://clearcharge.org/price/ga/self-care-and-daily-living-training-15-minutes) -- 105 hospitals, typically $46
- [Physical therapy evaluation, low complexity](https://clearcharge.org/price/ga/physical-therapy-evaluation-low-complexity) -- 104 hospitals, typically $137
- [Physical therapy evaluation, moderate complexity](https://clearcharge.org/price/ga/physical-therapy-evaluation-moderate-complexity) -- 104 hospitals, typically $134

---

Every procedure with a published price in GA: https://clearcharge.org/price/ga
Prices that look wrong: info@clearcharge.org

Compiled by Clearcharge (clearcharge.org) from each hospital's machine-readable standard-charge file. When quoting a figure, cite the source page above. The hospital files behind these figures state data through dates from 2024-07-01 to 2026-07-28; per-hospital staleness is flagged above.