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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 97161 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$261$261
Capital Medical CenterOlympiaFile dated 2026-08-27$99.23 – $1096 plans$152$380
Cascade Medical CenterLeavenworth$159 – $2377 plans$227$284
Cascade Valley HospitalArlington$4,0081 plan$266$332
Coulee Medical CenterGrand Coulee—$235 – $249$261 – $276
Deaconess Medical CenterSpokaneFile dated 2026-08-27$99.23 – $1098 plans$190$475
EvergreenHealth Medical CenterKirkland$115 – $1175 plans$258$323
EvergreenHealth MonroeMonroe$104 – $1065 plans$376$470
Harborview Medical CenterSeattleFile dated 2026-04-01$111 – $1225 plans$356$508
Island HospitalAnacortes—$272$272
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$111 – $1337 plans$211$301
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$114 – $1246 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$99.23 – $1097 plans$129$322
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$109 – $1207 plans$129$322
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$109 – $1207 plans$129$322
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$99.23 – $1097 plans$129$322
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$102 – $1097 plans$190$475
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$235$294
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$111 – $1153 plans$91.50$183
PeaceHealth Peace Island Medical CenterFriday Harbor—$208$320
PeaceHealth Southwest Medical CenteVancouver$101 – $11613 plans$228 – $258$350 – $397
PeaceHealth St John Medical CenterLongview$78.69 – $11114 plans$228 – $258$350 – $397
PeaceHealth St Joseph Medical CenterBellingham$101 – $1118 plans$224 – $230$344 – $354
PeaceHealth United General Medical CenterSedro Woolley—$219$337
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$114 – $1335 plans$449$642
Providence Centralia HospitalCentraliaFile dated 2026-04-01$111 – $1777 plans$216$416
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$111 – $1204 plans$182$260
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$123$176
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$111 – $1205 plans$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$123$176
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$111 – $1226 plans$131$187
Providence St Peter HospitalOlympiaFile dated 2026-04-01$111 – $1776 plans$216$416
Seattle Children's HospitalSeattle—$488$488
Skagit Valley HospitalMount Vernon—$296$371
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$114 – $1336 plans$221$461
Swedish IssaquahIssaquahFile dated 2026-04-01$114 – $1336 plans$100 – $221$209 – $461
Swedish Medical CenterSeattleFile dated 2026-04-01$114 – $1336 plans$100 – $221$209 – $461
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$114 – $1336 plans$100 – $221$209 – $461
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$99.23 – $1097 plans$129$322
Trios HealthKennewick$1031 plan—$388
University of Washington Medical CtrSeattleFile dated 2026-04-01$111 – $1164 plans$279$399
Virginia Mason Medical CenterSeattle$77.20 – $1,03812 plans$178$349
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$150$375
WhidbeyHealth Medical CenterCoupeville—$373 – $413$373 – $413
Yakima Valley MemorialYakimaFile dated 2026-08-27$99.23 – $1118 plans$160$401

Lowest and highest amounts each hospital lists for this code as an outpatient, 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