Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Seattle, WA — inpatient

In Seattle-Tacoma-Bellevue, WA, 8 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $91.50 to $288.80, with a median of $221.28. The lowest listed price is at Overlake Medical Center & Clinics — $129.78 less than the median here. Across Washington, the median is $215.96 at 26 hospitals.

Cash prices at 8 facilities across 6 cities for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$91.50Overlake Medical Center & Clinics
Median$221.28half pay less
Highest$288.80in this market
Difference3.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.

median
Lowest $91.50Highest $288.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Overlake Medical Center & Clinics lowest Bellevue, WA · (425) 688-5000 Hc Pt Eval Low Complex $91.50 $183.00 — 50% Apr 1, 2026
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 PT EVAL LOW COMPLEX 20 MIN $177.99 $349.00 $223.53–$279.20 49% —
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PT EVALUATION LOW COMPLEX CDM $204.36 $393.00 — 48% Apr 1, 2026
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM $204.36 $393.00 — 48% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC PT EVALUATION LOW COMPLEX CDM $221.28 $461.00 — 52% Apr 1, 2026
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Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC PT LOW COMPLEXITY EVALUATION $265.60 $332.00 $28.22–$298.80 20% —
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Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 "HB PHYSICAL THERAPY EVAL, LOW COMPLEXITY" $288.80 $361.00 — 20% Apr 1, 2026
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Inpatient: lowest $91.50, median $221.28, highest $288.80 — a 3.2× difference within the same market.

As an outpatient, the same code is billed by 9 facilities here, median $204.36 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is a first physical therapy evaluation of low complexity, typically about 20 minutes face to face. It is used for a stable problem with few other health factors, and ends with a plan of care.

What the price covers

The price covers the evaluation, billed once per evaluation rather than in time units. Treatment on the same day, such as therapeutic exercise or manual therapy, is billed separately in 15-minute units.