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

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for CPT 97164 by hospital
HospitalMedicare (traditional) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$109$109
Capital Medical CenterOlympiaFile dated 2026-08-27—$120$301
Cascade Medical CenterLeavenworth$1381 plan$190$238
Cascade Valley HospitalArlington—$171$214
Coulee Medical CenterGrand Coulee—$187$208
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$114$286
EvergreenHealth Medical CenterKirkland—$170$213
EvergreenHealth MonroeMonroe—$182$227
Harborview Medical CenterSeattleFile dated 2026-04-01—$248$354
Island HospitalAnacortes—$111 – $125$111 – $125
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$102$146
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$78.40$196
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$78.40$196
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$78.40$196
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$78.40$196
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$114$286
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$195$244
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$72.00$144
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$288$411
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$79.56$153
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$72.10$103
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$54.60$78.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$52.50$75.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$88.20$126
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$79.56$153
Seattle Children's HospitalSeattle—$345$345
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$125$260
Swedish IssaquahIssaquahFile dated 2026-04-01—$125$260
Swedish Medical CenterSeattleFile dated 2026-04-01—$125$260
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$125$260
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$78.40$196
Three Rivers HospitalBrewster$69.64 – $91.292 plans$135$135
University of Washington Medical CtrSeattleFile dated 2026-04-01—$197$281
Virginia Mason Medical CenterSeattle—$121$238
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$102$254
Yakima Valley MemorialYakimaFile dated 2026-08-27—$132$330

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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