Price Checker / CPT 97150
CPT 97150 — Group therapeutic procedures
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$18
What Medicare pays in a hospital/ASC setting
$18
What Medicare pays in a physician's office
$844
Based on 50 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 97150
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Childrens Specialized Hospital New Brunswick, NJ | $233 | — | 149723% |
| Helen Keller Hospital , AL | $7,963 | $7,963 | 44041% |
| City of Hope National Medical Center , CA | $7,034 | $3,517 | 38891% |
| Rehabilitation Hospital of Rhode Island , RI | $5,381 | $5,381 | 29725% |
| HealthSource Saginaw , MI | — | — | 9878% |
| HealthSource Saginaw , MI | — | — | 9878% |
| Baptist Health Princeton Hospital , AL | — | — | 9190% |
| Rehabilitation Hospital of Indana , IN | $1,262 | $719 | 6896% |
| Penn State Health Rehabilitation Hospital , PA | $116 | — | 5249% |
| UM Rehabilitation & Orthopaedic Institute Baltimore, MD | $843 | — | 4572% |
| UM Rehabilitation & Orthopaedic Institute , MD | $843 | $826 | 4572% |
| UM Capital Region Medical Center , MD | $804 | $788 | 4357% |
| University of Maryland Medical Center , MD | $774 | $758 | 4188% |
| Alameda Hospital , CA | $659 | $329 | 3551% |
| Fairmont Hospital , CA | $659 | $329 | 3551% |
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About CPT 97150
CPT code 97150 refers to “Group therapeutic procedures”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $18 in a facility (hospital or ambulatory surgery center) and $18in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.