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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for CPT 97165 by hospital
HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$290$290
Capital Medical CenterOlympiaFile dated 2026-08-27—$197$493
Cascade Medical CenterLeavenworth$106 – $2532 plans$227$284
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$216$541
EvergreenHealth Medical CenterKirkland—$254$318
EvergreenHealth MonroeMonroe—$263$329
Harborview Medical CenterSeattleFile dated 2026-04-01—$358$512
Island HospitalAnacortes—$308$308
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$169$241
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$144$360
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$144$360
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$144$360
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$144$360
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$216$541
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$254$317
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$86.00$172
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$347$496
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$117$225
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$182$260
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$160$229
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$183$261
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$118$169
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$117$225
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$253$527
Swedish IssaquahIssaquahFile dated 2026-04-01—$253$527
Swedish Medical CenterSeattleFile dated 2026-04-01—$253$527
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$253$527
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$144$360
Three Rivers HospitalBrewster—$147$147
Trios HealthKennewick$1036 plans—$483
University of Washington Medical CtrSeattleFile dated 2026-04-01—$282$403
Virginia Mason Medical CenterSeattle—$192$377
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$152$381
Yakima Valley MemorialYakimaFile dated 2026-08-27—$119$298

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)
$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