CPT 97162
The standard charge for PT Evaluation - Moderate Complexity is $340.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
1805 27th Street, Portsmouth, OH, 45662CONTACT
740-356-7602 Visit WebsiteSouthern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Southern Ohio Medical Center provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Southern Ohio Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 740-356-7602.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$340.00Insurance Discount
-$78.20Price Negotiated by Insurer
$261.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$16.94INDIVIDUAL EXERCISE EA 15 MIN
$112.42MANUAL THERAPY - 15 MIN
$108.57SOTRADECOL 1% 2mL MDV
$327.87THERAPEUTIC ACTIV-15 MIN
$106.26VENIPUNCTURE
$17.71This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$223.07Price Negotiated by Insurer
$116.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$3.28INDIVIDUAL EXERCISE EA 15 MIN
$50.21MANUAL THERAPY - 15 MIN
$48.49SOTRADECOL 1% 2mL MDV
$146.44THERAPEUTIC ACTIV-15 MIN
$47.46VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$74.80Price Negotiated by Insurer
$265.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$17.67INDIVIDUAL EXERCISE EA 15 MIN
$113.88MANUAL THERAPY - 15 MIN
$109.98SOTRADECOL 1% 2mL MDV
$332.13THERAPEUTIC ACTIV-15 MIN
$107.64VENIPUNCTURE
$18.47This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$170.00Price Negotiated by Insurer
$170.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$11.00INDIVIDUAL EXERCISE EA 15 MIN
$73.00MANUAL THERAPY - 15 MIN
$70.50SOTRADECOL 1% 2mL MDV
$212.90THERAPEUTIC ACTIV-15 MIN
$69.00VENIPUNCTURE
$11.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$57.80Price Negotiated by Insurer
$282.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$18.26INDIVIDUAL EXERCISE EA 15 MIN
$121.18MANUAL THERAPY - 15 MIN
$117.03SOTRADECOL 1% 2mL MDV
$353.42THERAPEUTIC ACTIV-15 MIN
$114.54VENIPUNCTURE
$19.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$17.00Price Negotiated by Insurer
$323.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$20.90INDIVIDUAL EXERCISE EA 15 MIN
$138.70MANUAL THERAPY - 15 MIN
$133.95SOTRADECOL 1% 2mL MDV
$404.52THERAPEUTIC ACTIV-15 MIN
$131.10VENIPUNCTURE
$21.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$51.00Price Negotiated by Insurer
$289.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$18.70INDIVIDUAL EXERCISE EA 15 MIN
$124.10MANUAL THERAPY - 15 MIN
$119.85SOTRADECOL 1% 2mL MDV
$361.94THERAPEUTIC ACTIV-15 MIN
$117.30VENIPUNCTURE
$19.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$223.07Price Negotiated by Insurer
$116.93Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$3.28INDIVIDUAL EXERCISE EA 15 MIN
$50.21MANUAL THERAPY - 15 MIN
$48.49SOTRADECOL 1% 2mL MDV
$146.44THERAPEUTIC ACTIV-15 MIN
$47.46VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$221.88Price Negotiated by Insurer
$118.12Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$3.31INDIVIDUAL EXERCISE EA 15 MIN
$50.72MANUAL THERAPY - 15 MIN
$48.98SOTRADECOL 1% 2mL MDV
$147.93THERAPEUTIC ACTIV-15 MIN
$47.94VENIPUNCTURE
$9.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$61.20Price Negotiated by Insurer
$278.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$18.04INDIVIDUAL EXERCISE EA 15 MIN
$119.72MANUAL THERAPY - 15 MIN
$115.62SOTRADECOL 1% 2mL MDV
$349.16THERAPEUTIC ACTIV-15 MIN
$113.16VENIPUNCTURE
$18.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$89.08Price Negotiated by Insurer
$250.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$16.24INDIVIDUAL EXERCISE EA 15 MIN
$107.75MANUAL THERAPY - 15 MIN
$104.06SOTRADECOL 1% 2mL MDV
$314.25THERAPEUTIC ACTIV-15 MIN
$101.84VENIPUNCTURE
$16.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$238.00Price Negotiated by Insurer
$102.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$10.15BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$9.32GLUCOSE FINGER STICK
$3.94INDIVIDUAL EXERCISE EA 15 MIN
$43.80INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG
$0.38MANUAL THERAPY - 15 MIN
$42.30SOTRADECOL 1% 2mL MDV
$127.74THERAPEUTIC ACTIV-15 MIN
$41.40VENIPUNCTURE
$10.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$220.73Price Negotiated by Insurer
$119.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$3.35INDIVIDUAL EXERCISE EA 15 MIN
$51.22MANUAL THERAPY - 15 MIN
$49.46SOTRADECOL 1% 2mL MDV
$149.37THERAPEUTIC ACTIV-15 MIN
$48.41VENIPUNCTURE
$9.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$40.80Price Negotiated by Insurer
$299.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$19.36INDIVIDUAL EXERCISE EA 15 MIN
$128.48MANUAL THERAPY - 15 MIN
$124.08SOTRADECOL 1% 2mL MDV
$374.71THERAPEUTIC ACTIV-15 MIN
$121.44VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$85.00Price Negotiated by Insurer
$255.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$16.50INDIVIDUAL EXERCISE EA 15 MIN
$109.50MANUAL THERAPY - 15 MIN
$105.75SOTRADECOL 1% 2mL MDV
$319.36THERAPEUTIC ACTIV-15 MIN
$103.50VENIPUNCTURE
$17.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$68.00Price Negotiated by Insurer
$272.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$17.60INDIVIDUAL EXERCISE EA 15 MIN
$116.80MANUAL THERAPY - 15 MIN
$112.80SOTRADECOL 1% 2mL MDV
$340.65THERAPEUTIC ACTIV-15 MIN
$110.40VENIPUNCTURE
$18.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$44.20Price Negotiated by Insurer
$295.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$19.14INDIVIDUAL EXERCISE EA 15 MIN
$127.02MANUAL THERAPY - 15 MIN
$122.67SOTRADECOL 1% 2mL MDV
$370.45THERAPEUTIC ACTIV-15 MIN
$120.06VENIPUNCTURE
$20.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$105.40Price Negotiated by Insurer
$234.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$15.18INDIVIDUAL EXERCISE EA 15 MIN
$100.74MANUAL THERAPY - 15 MIN
$97.29SOTRADECOL 1% 2mL MDV
$293.81THERAPEUTIC ACTIV-15 MIN
$95.22VENIPUNCTURE
$15.87This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$13.60Price Negotiated by Insurer
$326.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$21.12INDIVIDUAL EXERCISE EA 15 MIN
$140.16MANUAL THERAPY - 15 MIN
$135.36SOTRADECOL 1% 2mL MDV
$408.78THERAPEUTIC ACTIV-15 MIN
$132.48VENIPUNCTURE
$22.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$340.00Insurance Discount
-$40.80Price Negotiated by Insurer
$299.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
GLUCOSE FINGER STICK
$19.36INDIVIDUAL EXERCISE EA 15 MIN
$128.48MANUAL THERAPY - 15 MIN
$124.08SOTRADECOL 1% 2mL MDV
$374.71THERAPEUTIC ACTIV-15 MIN
$121.44VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.