Price Checker / CPT 97034
How much does App Mdlty 1+cntrst Bth Ea 15 cost?
CPT 97034 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 19x the fair price — among the most extreme markups. Dispute this.
Fair price
$20–$40
What this should cost
With insurance
~$270
Typical out-of-pocket
Overcharged if over
$50
Push back above this
The average hospital charge of $560 is $530 over the fair price (about 19x the fair rate).
What hospitals charge for App Mdlty 1+cntrst Bth Ea 15
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Rehabilitation Hospital of Rhode Island , RI | $5,664 | $5,664 | 40271% |
| HealthSource Saginaw SAGINAW, MI | — | — | 12730% |
| Covenant Rehabilitation Hospital of Lubbock, LLC Lubbock, TX | $65 | — | 2091% |
| Summa Rehab Hospital, LLC Akron, OH | $105 | — | 1646% |
| Elkhorn Valley Rehabilitation Hospital, LLC , WY | $65 | — | 969% |
| Lafayette Regional Rehabilitation Hospital LLC Lafayette, IN | $65 | — | 898% |
| Laredo Rehabilitation Hospital, LLC Laredo, TX | $65 | — | 755% |
| South Texas Rehabilitation Hospital, LP Brownsville, TX | $65 | — | 755% |
| Weslaco Regional Rehabilitation Hospital, LLC Weslaco, TX | $65 | — | 755% |
| Northern Colorado Rehabilitation Hospital, Inc. Johnstown, CO | $75 | — | 698% |
| Lexington Regional Rehabilitation Hospital Cayce, SC | $105 | — | 613% |
| Northern Utah Rehabilitation Hospital, LLC South Odgen, UT | $65 | — | 613% |
| Midlands Regional Rehabilitation Hospital, LLC Elgin, SC | $65 | — | 541% |
| Bloomington Regional Rehabilitation Hospital, LLC Bloomington, IN | $65 | — | 471% |
| Spartanburg Rehabilitation Institute, Inc. Spartanburg, SC | $72 | — | 463% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About App Mdlty 1+cntrst Bth Ea 15
CPT code 97034 refers to app mdlty 1+cntrst bth ea 15 (billing description: "App mdlty 1+cntrst bth ea 15"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $14 in a facility (hospital or surgery center) and $14 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.