CPT 97164 at Lincoln Hospital

PT/OT Evaluation

Lincoln Hospital, Davenport

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 Lincoln Hospital publishes for this code: as an outpatient

Lincoln Hospital’s prices for CPT 97164, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$102 – $12510 plans	—
Medicare AdvantageInsurer rates	$71.992 plans	—
Medicaid managed careInsurer rates	$60.17 – $63.794 plans	—
Other government programInsurer rates	$71.99 – $1274 plans	—
UnknownInsurer rates	$98.08 – $1184 plans	—
Cash pricePaying yourself, without insurance	$116	—
List priceBefore any discount; few people pay it	$129	—

Lowest and highest amounts Lincoln Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-09-14. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 97164 at Lincoln Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 97164 at every Washington hospital, with Medicare’s reference amounts.