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 | $89.84 – $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 | $89.84 – $453 | $190 | $475 |
| EvergreenHealth Medical Center | $108 – $379 | $326 | $408 |
| EvergreenHealth Monroe | $113 – $578 | $498 | $622 |
| Harborview Medical Center | $177 – $222 | $376 | $537 |
| Island Hospital | — | $272 | $272 |
| Kadlec Regional Medical Center | $127 – $311 | $248 | $354 |
| Legacy Salmon Creek Medical Center | $222 – $276 | $64.35 | $99.00 |
| Mary Bridge Children's Hospital | $89.84 – $800 | $150 | $376 |
| MultiCare Auburn Medical Center | $89.84 – $471 | $150 | $376 |
| MultiCare Covington Medical Center | $89.84 – $471 | $150 | $376 |
| MultiCare Good Samaritan Hospital | $89.84 – $471 | $150 | $376 |
| MultiCare Valley Hospital | $89.84 – $452 | $190 | $475 |
| Olympic Medical Center | $224 – $401 | $321 | $401 |
| Overlake Hospital Medical Center & Clinics | $98.66 – $296 | $206 | $411 |
| PeaceHealth Peace Island Medical Center | — | $241 | $371 |
| PeaceHealth Southwest Medical Cente | $40.36 – $327 | $371 – $382 | $571 – $588 |
| PeaceHealth St John Medical Center | $40.36 – $581 | $378 | $582 |
| PeaceHealth St Joseph Medical Center | $107 – $291 | $261 – $269 | $402 – $414 |
| PeaceHealth United General Medical Center | — | $254 | $390 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $111 – $543 | $495 | $707 |
| Providence Centralia Hospital | $187 – $955 | $324 | $624 |
| Providence Holy Family Hospital | $122 – $466 | $244 | $349 |
| Providence Mount Carmel Hospital | — | $123 | $176 |
| Providence Regional Medical Center Everett | $99.76 – $257 | $212 | $407 |
| Providence St Joseph Hospital | — | $123 | $176 |
| Providence St Mary Medical Center | $101 – $326 | $131 | $187 |
| Providence St Peter Hospital | $88.67 – $522 | $324 | $624 |
| Seattle Children's Hospital | $453 – $805 | $839 | $839 |
| Skagit Valley Hospital | $152 – $406 | $342 | $427 |
| Swedish Edmonds Hospital | $111 – $395 | $293 | $610 |
| Swedish Issaquah | $88.67 – $387 | $133 – $293 | $277 – $610 |
| Swedish Medical Center | $88.67 – $396 | $133 – $293 | $277 – $610 |
| Swedish Medical Center / Cherry Hill | $88.67 – $396 | $133 – $293 | $277 – $610 |
| Tacoma General Allenmore Hospital | $89.84 – $471 | $150 | $376 |
| Trios Health | — | — | $514 |
| University of Washington Medical Ctr | $122 – $348 | $417 | $596 |
| Virginia Mason Medical Center | $2.92 – $558 | $178 | $349 |
| Wellfound Behavioral Health Hospital | $256 | $193 | $483 |
| WhidbeyHealth Medical Center | — | $390 – $432 | $390 – $432 |
| Yakima Valley Memorial | $130 – $470 | $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)