Price Checker / CPT 97530
How much does Therapeutic Activities cost?
CPT 97530 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 4.1x the fair price. This is well above fair — push back or dispute it.
Fair price
$55–$110
What this should cost
With insurance
~$530
Typical out-of-pocket
Overcharged if over
$140
Push back above this
The average hospital charge of $346 is $261 over the fair price (about 4.1x the fair rate).
What hospitals charge for Therapeutic Activities
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 | $3,592 | $3,592 | 10144% |
| Stonewall Jackson Hospital , WV | — | — | 7482% |
| HealthSource Saginaw SAGINAW, MI | — | — | 5033% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 2652% |
| Covenant Rehabilitation Hospital of Lubbock, LLC Lubbock, TX | $65 | — | 777% |
| Baylor - Dallas Dallas, TX | — | — | 747% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 747% |
| Baylor - Frisco Frisco, TX | — | — | 747% |
| Baylor - Lakeway Lakeway, TX | — | — | 747% |
| Washington County Hospital and Nursing Home Chatom, AL | $90 | — | 670% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $250 | $62 | 613% |
| Summa Rehab Hospital, LLC Akron, OH | $65 | — | 599% |
| Saint Barnabas Behavioral Health Center TOMS RIVER, NJ | $211 | — | 502% |
| SSM Health Rehabilitation Hospital - Bridgeton Saint Louis, MO | — | — | 502% |
| SSM Health Rehabilitation Hospital - Lake St. Louis Lake St. Louis, MO | — | — | 502% |
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 Therapeutic Activities
CPT code 97530 refers to therapeutic activities (billing description: "Therapeutic activities"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $35 in a facility (hospital or surgery center) and $35 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.