CPT 97166

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 97166 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$110 – $2037 plans$290$290
Capital Medical CenterOlympiaFile dated 2026-08-27$91.58 – $49719 plans$234$585
Cascade Medical CenterLeavenworth$90.95 – $2012 plans$256$320
Deaconess Medical CenterSpokaneFile dated 2026-08-27$91.58 – $45316 plans$216$541
EvergreenHealth Medical CenterKirkland$111 – $36823 plans$285$356
EvergreenHealth MonroeMonroe$114 – $44517 plans$382$478
Harborview Medical CenterSeattleFile dated 2026-04-01$183 – $2283 plans$412$589
Island HospitalAnacortes—$308$308
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$128 – $3218 plans$201$287
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$138 – $2282 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$91.58 – $80020 plans$156$391
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$91.58 – $47120 plans$156$391
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$91.58 – $47120 plans$156$391
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$91.58 – $47120 plans$156$391
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$91.58 – $45216 plans$216$541
Olympic Medical CenterPort AngelesFile dated 2026-06-24$211 – $3786 plans$302$378
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$104 – $31310 plans$129$258
PeaceHealth Peace Island Medical CenterFriday Harbor—$241$371
PeaceHealth Southwest Medical CenteVancouver$41.48 – $3366 plans$304 – $313$467 – $481
PeaceHealth St John Medical CenterLongview$41.48 – $5974 plans$304 – $313$467 – $481
PeaceHealth St Joseph Medical CenterBellingham$107 – $2944 plans$256 – $264$394 – $406
PeaceHealth United General Medical CenterSedro Woolley—$254$390
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$114 – $52512 plans$365$521
Providence Centralia HospitalCentraliaFile dated 2026-04-01$193 – $9238 plans$175$337
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$126 – $4519 plans$213$304
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$160$229
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$103 – $26512 plans$207$399
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$188$268
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$102 – $3367 plans$118$169
Providence St Peter HospitalOlympiaFile dated 2026-04-01$91.30 – $5049 plans$175$337
Seattle Children's HospitalSeattle$346 – $61498 plans$640$640
Skagit Valley HospitalMount Vernon$152 – $3999 plans$336$420
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$114 – $41713 plans$290$605
Swedish IssaquahIssaquahFile dated 2026-04-01$91.30 – $39813 plans$132 – $290$275 – $605
Swedish Medical CenterSeattleFile dated 2026-04-01$91.30 – $40814 plans$132 – $290$275 – $605
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$91.30 – $40814 plans$132 – $290$275 – $605
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$91.58 – $47120 plans$156$391
Three Rivers HospitalBrewster—$237$237
Trios HealthKennewick——$444
University of Washington Medical CtrSeattleFile dated 2026-04-01$126 – $3588 plans$324$463
Virginia Mason Medical CenterSeattle$2.83 – $55810 plans$192$377
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2621 plan$179$448
WhidbeyHealth Medical CenterCoupeville—$403 – $446$403 – $446
Yakima Valley MemorialYakimaFile dated 2026-08-27$132 – $34019 plans$159$397

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