CPT 97542

Occupational Therapy

Current code45 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 97542 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$86.00$86.00
Capital Medical CenterOlympiaFile dated 2026-08-27$19.94 – $29.545 plans$44.80$112
Cascade Medical CenterLeavenworth$69.54 – $1054 plans$100$125
Cascade Valley HospitalArlington$1491 plan$119$149
Coulee Medical CenterGrand Coulee—$111$123
Deaconess Medical CenterSpokaneFile dated 2026-08-27$18.83 – $19.945 plans$115$287
EvergreenHealth Medical CenterKirkland—$146$183
EvergreenHealth MonroeMonroe$32.931 plan$146$183
Harborview Medical CenterSeattleFile dated 2026-04-01—$138$197
Island HospitalAnacortes$19.81 – $28.253 plans$58.00$58.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$96.60$138
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$61.75$95.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$18.46 – $19.945 plans$55.20$138
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18.46 – $19.945 plans$55.20$138
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18.46 – $19.945 plans$55.20$138
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$18.46 – $19.945 plans$55.20$138
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$18.83 – $19.945 plans$115$287
Olympic Medical CenterPort AngelesFile dated 2026-06-24$19.62 – $21.495 plans$85.60$107
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$31.00$62.00
PeaceHealth Peace Island Medical CenterFriday Harbor—$85.80$132
PeaceHealth Southwest Medical CenteVancouver$33.251 plan$87.75 – $225$135 – $346
PeaceHealth St John Medical CenterLongview$24.94 – $33.573 plans$87.75$135
PeaceHealth St Joseph Medical CenterBellingham$33.572 plans$90.35 – $380$139 – $585
PeaceHealth United General Medical CenterSedro Woolley—$65.65 – $197$101 – $303
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$68.60 – $138$98.00 – $197
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$50.44$97.00
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$45.50$65.00
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$45.50$65.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$76.44$147
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$54.60$78.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$79.80$114
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$50.44$97.00
Seattle Children's HospitalSeattle$19.06 – $24.1112 plans$225$225
Skagit Valley HospitalMount Vernon$23.311 plan$125$156
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$62.88 – $114$131 – $237
Swedish Medical CenterSeattleFile dated 2026-04-01—$62.88 – $114$131 – $237
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$62.88 – $114$131 – $237
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$18.46 – $19.945 plans$55.20$138
Three Rivers HospitalBrewster$42.00 – $47.601 plan$60.00 – $68.00$60.00 – $68.00
University of Washington Medical CtrSeattleFile dated 2026-04-01—$81.16$116
Virginia Mason Medical CenterSeattle—$92.31$181
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$150 – $167$150 – $167
Yakima Valley MemorialYakimaFile dated 2026-08-27$18.83 – $21.885 plans$41.60$104

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)
$35.14 in an office; $35.14 in a hospital or surgery center
Doctor's fee, rest of Washington
$31.97 in an office; $31.97 in a hospital or surgery center