Every billing code / CPT 97165 / Kadlec Regional Medical Center
CPT 97165 at Kadlec Regional Medical Center
PT/OT Evaluation
Kadlec Regional Medical Center, Richland
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 Kadlec Regional Medical Center publishes for this code: as an outpatient
Kadlec Regional Medical Center’s prices for CPT 97165, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $128 – $3218 plans | — |
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| Medicare AdvantageInsurer rates | $114 – $1377 plans | — |
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| Cash pricePaying yourself, without insurance | $169 | — |
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| List priceBefore any discount; few people pay it | $241 | — |
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Lowest and highest amounts Kadlec Regional Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. 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 97165 at Kadlec Regional Medical Center| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The service | — | The price above |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 97165 at every Washington hospital, with Medicare’s reference amounts.