CPT 97163
PT/OT Evaluation
Current code45 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $157 | $261 | $261 |
| Capital Medical Center | $99.23 – $109 | $257 | $642 |
| Cascade Medical Center | $198 – $297 | $284 | $355 |
| Cascade Valley Hospital | $7,657 | $338 | $422 |
| Coulee Medical Center | — | $302 | $336 |
| Deaconess Medical Center | $99.23 – $109 | $190 | $475 |
| EvergreenHealth Medical Center | $115 – $117 | $326 | $408 |
| EvergreenHealth Monroe | $104 – $106 | $498 | $622 |
| Harborview Medical Center | $111 – $122 | $376 | $537 |
| Island Hospital | — | $272 | $272 |
| Kadlec Regional Medical Center | $111 – $133 | $248 | $354 |
| Legacy Salmon Creek Medical Center | $114 – $124 | $64.35 | $99.00 |
| Mary Bridge Children's Hospital | $99.23 – $109 | $150 | $376 |
| MultiCare Auburn Medical Center | $109 – $120 | $150 | $376 |
| MultiCare Covington Medical Center | $109 – $120 | $150 | $376 |
| MultiCare Good Samaritan Hospital | $99.23 – $109 | $150 | $376 |
| MultiCare Valley Hospital | $102 – $109 | $190 | $475 |
| Olympic Medical Center | — | $321 | $401 |
| Overlake Hospital Medical Center & Clinics | $111 – $115 | $206 | $411 |
| PeaceHealth Peace Island Medical Center | — | $241 | $371 |
| PeaceHealth Southwest Medical Cente | $101 – $116 | $371 – $382 | $571 – $588 |
| PeaceHealth St John Medical Center | $78.69 – $111 | $378 | $582 |
| PeaceHealth St Joseph Medical Center | $101 – $111 | $261 – $269 | $402 – $414 |
| PeaceHealth United General Medical Center | — | $254 | $390 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $114 – $133 | $495 | $707 |
| Providence Centralia Hospital | $111 – $177 | $324 | $624 |
| Providence Holy Family Hospital | $111 – $120 | $244 | $349 |
| Providence Mount Carmel Hospital | — | $123 | $176 |
| Providence Regional Medical Center Everett | $111 – $120 | $212 | $407 |
| Providence St Joseph Hospital | — | $123 | $176 |
| Providence St Mary Medical Center | $111 – $122 | $131 | $187 |
| Providence St Peter Hospital | $111 – $177 | $324 | $624 |
| Seattle Children's Hospital | — | $839 | $839 |
| Skagit Valley Hospital | — | $342 | $427 |
| Swedish Edmonds Hospital | $114 – $133 | $293 | $610 |
| Swedish Issaquah | $114 – $133 | $133 – $293 | $277 – $610 |
| Swedish Medical Center | $114 – $133 | $133 – $293 | $277 – $610 |
| Swedish Medical Center / Cherry Hill | $114 – $133 | $133 – $293 | $277 – $610 |
| Tacoma General Allenmore Hospital | $99.23 – $109 | $150 | $376 |
| Trios Health | $103 | — | $514 |
| University of Washington Medical Ctr | $111 – $116 | $417 | $596 |
| Virginia Mason Medical Center | $77.20 – $1,221 | $178 | $349 |
| Wellfound Behavioral Health Hospital | — | $193 | $483 |
| WhidbeyHealth Medical Center | — | $390 – $432 | $390 – $432 |
| Yakima Valley Memorial | $99.23 – $111 | $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)