CPT 97163
PT/OT Evaluation
Current code45 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $125 – $183 | $261 | $261 |
| Capital Medical Center | $514 – $546 | $257 | $642 |
| Cascade Medical Center | $84.60 – $223 | $284 | $355 |
| Cascade Valley Hospital | $35.87 – $7,646 | $338 | $422 |
| Coulee Medical Center | — | $302 | $336 |
| Deaconess Medical Center | $337 – $347 | $190 | $475 |
| EvergreenHealth Medical Center | $108 – $379 | $326 | $408 |
| EvergreenHealth Monroe | $113 – $578 | $498 | $622 |
| Harborview Medical Center | — | $376 | $537 |
| Island Hospital | — | $272 | $272 |
| Kadlec Regional Medical Center | — | $248 | $354 |
| Legacy Salmon Creek Medical Center | — | $64.35 | $99.00 |
| Mary Bridge Children's Hospital | $246 – $301 | $150 | $376 |
| MultiCare Auburn Medical Center | $274 | $150 | $376 |
| MultiCare Covington Medical Center | $274 | $150 | $376 |
| MultiCare Good Samaritan Hospital | $274 | $150 | $376 |
| MultiCare Valley Hospital | $342 | $190 | $475 |
| Olympic Medical Center | $224 – $401 | $321 | $401 |
| Overlake Hospital Medical Center & Clinics | — | $206 | $411 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $495 | $707 |
| Providence Centralia Hospital | — | $324 | $624 |
| Providence Holy Family Hospital | — | $244 | $349 |
| Providence Mount Carmel Hospital | — | $123 | $176 |
| Providence Regional Medical Center Everett | — | $212 | $407 |
| Providence St Joseph Hospital | — | $123 | $176 |
| Providence St Mary Medical Center | — | $131 | $187 |
| Providence St Peter Hospital | — | $324 | $624 |
| Swedish Edmonds Hospital | — | $293 | $610 |
| Swedish Issaquah | — | $293 | $610 |
| Swedish Medical Center | — | $293 | $610 |
| Swedish Medical Center / Cherry Hill | — | $293 | $610 |
| Tacoma General Allenmore Hospital | $274 | $150 | $376 |
| Trios Health | — | — | $514 |
| University of Washington Medical Ctr | — | $417 | $596 |
| Virginia Mason Medical Center | $224 – $279 | $178 | $349 |
| Wellfound Behavioral Health Hospital | — | $193 | $483 |
| Yakima Valley Memorial | $307 | $219 | $548 |
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
How hospitals also write this code
Some price files write it differently. These are counted as CPT 97163:
- 97163P (with a letter after it, P; 3 price lines)
- 97163T (with a letter after it, T; 2 price lines)