CPT 97161

PT/OT Evaluation

Current code45 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 97161 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$261$261
Capital Medical CenterOlympiaFile dated 2026-08-27—$152$380
Cascade Medical CenterLeavenworth$158 – $2374 plans$227$284
Cascade Valley HospitalArlington$3321 plan$266$332
Coulee Medical CenterGrand Coulee—$235 – $249$261 – $276
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$190$475
EvergreenHealth Medical CenterKirkland—$258$323
EvergreenHealth MonroeMonroe$1041 plan$376$470
Harborview Medical CenterSeattleFile dated 2026-04-01—$356$508
Island HospitalAnacortes—$272$272
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$211$301
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$129$322
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$129$322
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$129$322
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$129$322
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$190$475
Olympic Medical CenterPort AngelesFile dated 2026-06-24$62.41 – $68.365 plans$235$294
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$91.50$183
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$449$642
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$216$416
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$182$260
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$123$176
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$123$176
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$131$187
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$216$416
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$221$461
Swedish IssaquahIssaquahFile dated 2026-04-01—$221$461
Swedish Medical CenterSeattleFile dated 2026-04-01—$221$461
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$221$461
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$129$322
Trios HealthKennewick——$388
University of Washington Medical CtrSeattleFile dated 2026-04-01—$279$399
Virginia Mason Medical CenterSeattle—$178$349
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$150$375
Yakima Valley MemorialYakimaFile dated 2026-08-27—$160$401

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$111 in an office; $111 in a hospital or surgery center
Doctor's fee, rest of Washington
$101 in an office; $101 in a hospital or surgery center