Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Seattle, WA

In Seattle-Tacoma-Bellevue, WA, 8 hospitals list a cash price for occupational therapy evaluation, low complexity: from $86.00 to $488.30, with a median of $198.32. The lowest listed price is at Overlake Medical Center & Clinics — $112.32 less than the median here. Across Washington, the median is $198.32 at 24 hospitals.

Cash prices at 8 facilities across 5 cities for code 97165, 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$86.00Overlake Medical Center & Clinics
Median$198.32half pay less
Highest$488.30in this market
Difference5.7×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 $86.00Highest $488.30

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Overlake Medical Center & Clinics lowest Bellevue, WA · (425) 688-5000 Hc Ot Eval Low Complex $86.00 $172.00 — 50% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC OT EVALUATION LOW COMPLEX $114.72 $239.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC OT EVALUATION LOW COMPLEX $114.72 $239.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC OT EVALUATION LOW COMPLEX $114.72 $239.00 — 52% Apr 1, 2026
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Virginia Mason Medical Center Seattle, WA · (206) 223-6600 OT EVAL LOW COMPLEX 30 MIN $192.27 $377.00 $226.20–$301.60 49% —
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Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC CRISIS TELEH 97165 OT 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 OT EVALUATION LOW COMPLEX $204.36 $393.00 — 48% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC OT EVALUATION LOW COMPLEX $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC OT EVALUATION LOW COMPLEX $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Edmonds Edmonds, WA · (425) 640-4000 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC OT EVALUATION LOW COMPLEX $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Issaquah Issaquah, WA · (425) 313-4000 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM $252.96 $527.00 — 52% Apr 1, 2026
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Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 "HB OCCUPATIONAL THERAPY EVAL, LOW COMPLEXITY" $280.00 $350.00 — 20% Apr 1, 2026
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Seattle Children's Hospital Seattle, WA · (206) 987-2000 Evaluation Low Complexity $488.30 $488.30 $61.12–$468.77 — —
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Outpatient: lowest $86.00, median $198.32, highest $488.30 — a 5.7× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $252.96. 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 1 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

An occupational therapy evaluation assesses daily activities and sets a plan.

What the price covers

The price is for one session or evaluation.