What does code 99197 cost?

Across the published hospital price files, the disclosed cash price for 99197 ranges from $623 to $1,011. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

99197 is the billing code hospitals use to identify "HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE)" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

99197

HCPCS

HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE)

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 99197 (HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE)) appears at 5 hospitals with disclosed cash prices from $623 to $1,011. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

Compare 99197 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 99197 vary by about 62% across the 5 hospitals with disclosed prices here — from $623 to $1,011. Shopping around can matter.

Hospitals

Prices shown

$623

Lowest cash

$1,011

Highest cash

code 99197 cash price5 disclosed · 5 hospitals

$623median ~$1,011$1,011

Lowest cash price by hospital

Providence Medford Medical Center$623
Providence Milwaukie Hospital$1,011
Providence Newberg Medical Center$1,011
Providence Portland Medical Center$1,011
Providence St Vincent Medical Center$1,011

Cash price by city

Reflects your current filters.

Cash price by city$623 – $1,011

Medford · 1 hospital$623
Milwaukie · 1 hospital$1,011
Newberg · 1 hospital$1,011
Portland · 2 hospitals$1,011

5 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE) Inpatient & outpatient	Providence Medford Medical Center	99197 HCPCS	$830	$623	—	—
HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE) Inpatient & outpatient	Providence Milwaukie Hospital	99197 HCPCS	$1,348	$1,011	—	—
HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE) Inpatient & outpatient	Providence Newberg Medical Center	99197 HCPCS	$1,348	$1,011	—	—
HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE) Inpatient & outpatient	Providence Portland Medical Center	99197 HCPCS	$1,348	$1,011	—	—
HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE) Inpatient & outpatient	Providence St Vincent Medical Center	99197 HCPCS	$1,348	$1,011	—	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 99197 prices

Open a hospital to see this code in the context of its full published prices.

Providence Medford Medical Center Providence Milwaukie Hospital Providence Newberg Medical Center Providence Portland Medical Center Providence St Vincent Medical Center

Code 99197: frequently asked

What does code 99197 cost?: Across the published hospital price files, the disclosed cash price for 99197 ranges from $623 to $1,011. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 99197?: 99197 is the billing code hospitals use to identify "HC PHYSICAL CAPACITY EVAL - LVL 2 (OR L&I CODE)" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 99197 by state

Oregon hospital prices