Price Checker / CPT 97130
How much does Ther Ivntj Ea Addl 15 Min cost?
CPT 97130 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 6.4x the fair price. This is well above fair — push back or dispute it.
Fair price
$30–$65
What this should cost
With insurance
~$270
Typical out-of-pocket
Overcharged if over
$80
Push back above this
The average hospital charge of $321 is $271 over the fair price (about 6.4x the fair rate).
What hospitals charge for Ther Ivntj Ea Addl 15 Min
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Castro County Hospital District dba Plains Memorial Hospital Dimmitt, TX | $3,815 | — | 15313% |
| HealthSource Saginaw SAGINAW, MI | — | — | 8455% |
| Penn State Health Rehabilitation Hospital , PA | $116 | — | 4487% |
| Ste Genevieve County Memorial Hospital SAINTE GENEVIEVE, MO | $508 | $254 | 2314% |
| Covenant Rehabilitation Hospital of Lubbock, LLC Lubbock, TX | $65 | — | 1361% |
| Baylor - Dallas Dallas, TX | — | — | 1312% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 1312% |
| Baylor - Frisco Frisco, TX | — | — | 1312% |
| Baylor - Lakeway Lakeway, TX | — | — | 1312% |
| Summa Rehab Hospital, LLC Akron, OH | $105 | — | 1064% |
| SOUTHERN VIRGINIA MEDICAL CENTER , VA | $235 | — | 1017% |
| RAPPAHANNOCK GENERAL HOSPITAL Kilmarnock, VA | $213 | — | 912% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $150 | $38 | 613% |
| Elkhorn Valley Rehabilitation Hospital, LLC , WY | $65 | — | 613% |
| Lafayette Regional Rehabilitation Hospital LLC Lafayette, IN | $65 | — | 565% |
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 Ther Ivntj Ea Addl 15 Min
CPT code 97130 refers to ther ivntj ea addl 15 min (billing description: "Ther ivntj ea addl 15 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $18 in a facility (hospital or surgery center) and $21 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.