TrueHospitalCost

MercyOne Dubuque Medical Center · Dubuque, IA

Physical therapy evaluation

Procedure code (CPT) 97161 · Physical therapy · Hospital's own wording: "HC Pt Evaluation Low Complexity Patient/Family"

Cash price — what the hospital publishes for people paying out of pocket
$195.65
Cash price$195.65 — the discounted cash price in the hospital's published file.
List price$301 — the hospital's gross (list) charge before any discount or insurance.
Medicare rate (2026)$97.86 — Medicare’s published national payment rate for this procedure (CMS Physician Fee Schedule, facility rate). It is a total rate: for most services Medicare pays about 80% of it and the patient or their supplemental plan about 20%. The amount paid to a specific hospital varies with local wage adjustments.
Insurance-negotiated range$74.80 – $301 — the lowest and highest rates this hospital has negotiated with insurance plans for this procedure, as published in its file.

The low end of a negotiated range can reflect a government program fee schedule (such as Medicaid) rather than a rate most patients would pay, and the high end can reflect contract formulas. Your own plan's rate sits somewhere inside the range and depends on your coverage.

Where this price comes from

These figures are taken word-for-word from MercyOne Dubuque Medical Center's own published price file, file date March 31, 2026. Open the hospital's source file. Prices are published figures, not a quote or a guarantee of your final bill — see how to read these numbers.

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