Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 9 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $115.68 to $639.90, with a median of $207.48. The lowest listed price is at Swedish Issaquah and 1 other hospital — $91.80 less than the median here. Across Washington, the median is $226.07 at 26 hospitals.

Cash prices at 9 facilities across 6 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$115.68Swedish Issaquah + 1 more
Median$207.48half pay less
Highest$639.90in this market
Difference5.5×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 $115.68Highest $639.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Swedish Issaquah lowest Issaquah, WA · (425) 313-4000 HC PT EVALUATION MOD COMPLEX CDM $115.68 $241.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill lowest Seattle, WA · (206) 320-2000 HC PT EVALUATION MOD COMPLEX CDM $115.68 $241.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill lowest Seattle, WA · (206) 320-2000 HC PT EVALUATION MOD COMPLEX CDM $115.68 $241.00 — 52% Apr 1, 2026
source file
Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Pt Eval Mod Complex $137.00 $274.00 — 50% Apr 1, 2026
source file
Virginia Mason Medical Center Seattle, WA · (206) 223-6600 PT EVAL MOD COMPLEX 30 MIN $177.99 $349.00 $209.40–$279.20 49% —
source file
Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC PT EVALUATION MOD COMPLEX CDM $207.48 $399.00 — 48% Apr 1, 2026
source file
Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM $207.48 $399.00 — 48% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Edmonds Edmonds, WA · (425) 640-4000 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Issaquah Issaquah, WA · (425) 313-4000 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM $254.88 $531.00 — 52% Apr 1, 2026
source file
Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC PT MODERATE COMPLEXITY EVALUATION $300.00 $375.00 $3.00–$337.50 20% —
source file
Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 "HB PHYSICAL THERAPY EVAL, MODERATE COMPLEXITY" $312.00 $390.00 — 20% Apr 1, 2026
source file
Seattle Children's Hospital Seattle, WA · (206) 987-2000 Evaluation Mod Complexity $639.90 $639.90 $59.44–$614.30 — —
source file

Outpatient: lowest $115.68, median $207.48, highest $639.90 — a 5.5× difference within the same market.

As an inpatient, the same code is billed by 8 facilities here, median $254.88. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 2 of 3 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 moderate complexity, typically about 30 minutes face to face. It is used when the problem is changing or other health conditions affect the 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.