CPT 97167

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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 97167 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$290$290
Capital Medical CenterOlympiaFile dated 2026-08-27—$252$630
Cascade Medical CenterLeavenworth$1901 plan$284$355
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$216$541
EvergreenHealth Medical CenterKirkland—$308$385
EvergreenHealth MonroeMonroe—$510$638
Harborview Medical CenterSeattleFile dated 2026-04-01—$474$677
Island HospitalAnacortes—$308$308
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$241$344
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$167$418
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$167$418
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$167$418
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$167$418
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$216$541
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$363$454
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$172$343
PeaceHealth Peace Island Medical CenterFriday Harbor—$265$408
PeaceHealth Southwest Medical CenteVancouver—$385 – $397$593 – $611
PeaceHealth St John Medical CenterLongview—$385 – $397$593 – $611
PeaceHealth St Joseph Medical CenterBellingham—$287 – $296$442 – $455
PeaceHealth United General Medical CenterSedro Woolley—$279$429
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$383$547
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$233$449
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$244$349
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$160$229
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$212$407
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$193$276
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$118$169
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$233$449
Seattle Children's HospitalSeattle$61.121 plan$839$839
Skagit Valley HospitalMount Vernon—$342$427
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$334$696
Swedish IssaquahIssaquahFile dated 2026-04-01—$151 – $334$315 – $696
Swedish Medical CenterSeattleFile dated 2026-04-01—$151 – $334$315 – $696
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$151 – $334$315 – $696
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$167$418
Three Rivers HospitalBrewster$2211 plan$315$315
Trios HealthKennewick——$646
University of Washington Medical CtrSeattleFile dated 2026-04-01—$373$533
Virginia Mason Medical CenterSeattle—$191$374
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$209$523
WhidbeyHealth Medical CenterCoupeville—$403 – $454$403 – $454
Yakima Valley MemorialYakimaFile dated 2026-08-27—$198$496

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