CPT 97164

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 97164 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$70.85 – $76.302 plans$109$109
Capital Medical CenterOlympiaFile dated 2026-08-27$60.32 – $25619 plans$120$301
Cascade Medical CenterLeavenworth$57.46 – $1492 plans$190$238
Cascade Valley HospitalArlington$18.19 – $1,80010 plans$171$214
Coulee Medical CenterGrand Coulee—$187$208
Deaconess Medical CenterSpokaneFile dated 2026-08-27$60.32 – $31416 plans$114$286
EvergreenHealth Medical CenterKirkland$68.16 – $34123 plans$170$213
EvergreenHealth MonroeMonroe$78.27 – $21116 plans$182$227
Harborview Medical CenterSeattleFile dated 2026-04-01$111 – $1393 plans$248$354
Island HospitalAnacortes—$111 – $125$111 – $125
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$87.40 – $1968 plans$102$146
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$85.49 – $1392 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$60.32 – $55420 plans$78.40$196
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$60.32 – $32620 plans$78.40$196
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$60.32 – $32620 plans$78.40$196
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$60.32 – $32620 plans$78.40$196
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$60.32 – $31416 plans$114$286
Olympic Medical CenterPort AngelesFile dated 2026-06-24$136 – $2446 plans$195$244
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$67.81 – $20310 plans$72.00$144
PeaceHealth Peace Island Medical CenterFriday Harbor—$131$202
PeaceHealth Southwest Medical CenteVancouver$27.86 – $2267 plans$183 – $188$281 – $289
PeaceHealth St John Medical CenterLongview$27.86 – $4014 plans$188$289
PeaceHealth St Joseph Medical CenterBellingham$107 – $2034 plans$142 – $151$219 – $233
PeaceHealth United General Medical CenterSedro Woolley—$138$213
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$69.67 – $37412 plans$288$411
Providence Centralia HospitalCentraliaFile dated 2026-04-01$118 – $6588 plans$79.56$153
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$76.64 – $3219 plans$72.10$103
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$54.60$78.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$62.70 – $16212 plans$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$52.50$75.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$69.90 – $2057 plans$88.20$126
Providence St Peter HospitalOlympiaFile dated 2026-04-01$55.74 – $3599 plans$79.56$153
Seattle Children's HospitalSeattle$186 – $585at least 98 plans$345 – $609$345 – $609
Skagit Valley HospitalMount Vernon$106 – $4109 plans$346$432
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$69.67 – $27113 plans$125$260
Swedish IssaquahIssaquahFile dated 2026-04-01$55.74 – $26913 plans$56.64 – $125$118 – $260
Swedish Medical CenterSeattleFile dated 2026-04-01$55.74 – $24914 plans$56.64 – $125$118 – $260
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$55.74 – $24914 plans$56.64 – $125$118 – $260
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$60.32 – $32620 plans$78.40$196
Three Rivers HospitalBrewster—$135$135
University of Washington Medical CtrSeattleFile dated 2026-04-01$76.64 – $2188 plans$197$281
Virginia Mason Medical CenterSeattle$2.00 – $38710 plans$121$238
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1761 plan$102$254
WhidbeyHealth Medical CenterCoupeville—$252 – $279$252 – $279
Yakima Valley MemorialYakimaFile dated 2026-08-27$90.44 – $28319 plans$132$330

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)
$76.97 in an office; $76.97 in a hospital or surgery center
Doctor's fee, rest of Washington
$69.67 in an office; $69.67 in a hospital or surgery center