CPT 97168

PT/OT Evaluation

Current code43 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 97168 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$44.11 – $65.345 plans$124$309
Cascade Medical CenterLeavenworth$139 – $2094 plans$200$250
Coulee Medical CenterGrand Coulee—$279$310
Deaconess Medical CenterSpokaneFile dated 2026-08-27$41.66 – $44.115 plans$144$359
EvergreenHealth Medical CenterKirkland—$173$216
EvergreenHealth MonroeMonroe$72.841 plan$212$265
Harborview Medical CenterSeattleFile dated 2026-04-01—$225$321
Island HospitalAnacortes$44.98 – $1353 plans$97.00$97.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$121$173
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$40.84 – $44.115 plans$90.80$227
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$40.84 – $44.115 plans$90.80$227
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$40.84 – $44.115 plans$90.80$227
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$40.84 – $44.115 plans$90.80$227
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$41.66 – $44.115 plans$144$359
Olympic Medical CenterPort AngelesFile dated 2026-06-24$44.55 – $48.795 plans$210$263
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$55.50$111
PeaceHealth Peace Island Medical CenterFriday Harbor—$153$235
PeaceHealth Southwest Medical CenteVancouver$73.551 plan$172 – $177$264 – $272
PeaceHealth St John Medical CenterLongview$55.16 – $74.263 plans$172 – $177$264 – $272
PeaceHealth St Joseph Medical CenterBellingham$74.262 plans$165 – $170$254 – $262
PeaceHealth United General Medical CenterSedro Woolley—$161$247
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$174$249
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$79.56$153
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$72.10$103
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$43.40$62.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$204$393
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$49.70$71.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$66.50$95.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$79.56$153
Seattle Children's HospitalSeattle$43.28 – $54.7312 plans$427 – $609$427 – $609
Skagit Valley HospitalMount Vernon$43.911 plan$356$445
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$158$330
Swedish IssaquahIssaquahFile dated 2026-04-01—$72.00 – $158$150 – $330
Swedish Medical CenterSeattleFile dated 2026-04-01—$72.00 – $158$150 – $330
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$72.00 – $158$150 – $330
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$40.84 – $44.115 plans$90.80$227
Three Rivers HospitalBrewster$66.501 plan$95.00$95.00
University of Washington Medical CtrSeattleFile dated 2026-04-01—$157$224
Virginia Mason Medical CenterSeattle—$129$253
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$110$275
WhidbeyHealth Medical CenterCoupeville—$275 – $305$275 – $305
Yakima Valley MemorialYakimaFile dated 2026-08-27$41.66 – $48.405 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)
$78.20 in an office; $78.20 in a hospital or surgery center
Doctor's fee, rest of Washington
$70.72 in an office; $70.72 in a hospital or surgery center