Price Checker / CPT 97150

How much does Group Therapeutic Procedures cost?

CPT 97150 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 32x the fair price — among the most extreme markups. Dispute this.

Fair price

$25–$55

What this should cost

With insurance

~$740

Typical out-of-pocket

Overcharged if over

$70

Push back above this

The average hospital charge of $1,286 is $1,246 over the fair price (about 32x the fair rate).

What hospitals charge for Group Therapeutic Procedures

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Rehabilitation Hospital of Rhode Island

, RI

$5,381$5,38129725%
HealthSource Saginaw

SAGINAW, MI

9878%
Baptist Health Princeton Hospital

, AL

9190%
Penn State Health Rehabilitation Hospital

, PA

$1165249%
UM Rehabilitation & Orthopaedic Institute

Baltimore, MD

$8434572%
Washington County Hospital and Nursing Home

Chatom, AL

$901393%
Childrens Specialized Hospital

NEW BRUNSWICK, NJ

$2331192%
Baptist Health Rehabilitation Institute-Little Rock

, AR

$150$38731%

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About Group Therapeutic Procedures

CPT code 97150 refers to group therapeutic procedures (billing description: "Group therapeutic procedures"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $18 in a facility (hospital or surgery center) and $18 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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