CPT 97165

PT/OT Evaluation

Current code44 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 Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 97165 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$290$290
Capital Medical CenterOlympiaFile dated 2026-08-27$102 – $1126 plans$197$493
Cascade Medical CenterLeavenworth$159 – $2377 plans$227$284
Deaconess Medical CenterSpokaneFile dated 2026-08-27$102 – $1128 plans$216$541
EvergreenHealth Medical CenterKirkland$118 – $1205 plans$254$318
EvergreenHealth MonroeMonroe$107 – $1095 plans$263$329
Harborview Medical CenterSeattleFile dated 2026-04-01$114 – $1265 plans$358$512
Island HospitalAnacortes—$308$308
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$114 – $1377 plans$169$241
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$118 – $1286 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$102 – $1127 plans$144$360
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$112 – $1237 plans$144$360
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$112 – $1237 plans$144$360
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$102 – $1127 plans$144$360
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$105 – $1127 plans$216$541
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$254$317
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$114 – $1193 plans$86.00$172
PeaceHealth Peace Island Medical CenterFriday Harbor—$211$324
PeaceHealth Southwest Medical CenteVancouver$104 – $11913 plans$246 – $253$378 – $389
PeaceHealth St John Medical CenterLongview$80.89 – $11414 plans$246 – $253$378 – $389
PeaceHealth St Joseph Medical CenterBellingham$104 – $1148 plans$234 – $241$360 – $371
PeaceHealth United General Medical CenterSedro Woolley—$222$341
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$118 – $1375 plans$347$496
Providence Centralia HospitalCentraliaFile dated 2026-04-01$114 – $1837 plans$117$225
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$114 – $1234 plans$182$260
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$160$229
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$114 – $1235 plans$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$183$261
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$114 – $1266 plans$118$169
Providence St Peter HospitalOlympiaFile dated 2026-04-01$114 – $1836 plans$117$225
Seattle Children's HospitalSeattle—$488$488
Skagit Valley HospitalMount Vernon—$320$400
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$118 – $1376 plans$253$527
Swedish IssaquahIssaquahFile dated 2026-04-01$118 – $1376 plans$115 – $253$239 – $527
Swedish Medical CenterSeattleFile dated 2026-04-01$118 – $1376 plans$115 – $253$239 – $527
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$118 – $1376 plans$115 – $253$239 – $527
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$102 – $1127 plans$144$360
Three Rivers HospitalBrewster—$147$147
Trios HealthKennewick$1061 plan—$483
University of Washington Medical CtrSeattleFile dated 2026-04-01$114 – $1204 plans$282$403
Virginia Mason Medical CenterSeattle$79.41 – $72112 plans$192$377
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$152$381
WhidbeyHealth Medical CenterCoupeville—$403 – $446$403 – $446
Yakima Valley MemorialYakimaFile dated 2026-08-27$102 – $1148 plans$119$298

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)
$114 in an office; $114 in a hospital or surgery center
Doctor's fee, rest of Washington
$104 in an office; $104 in a hospital or surgery center