Price Checker / CPT 97535
CPT 97535 — Self care mngment training
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$32
What Medicare pays in a hospital/ASC setting
$32
What Medicare pays in a physician's office
$2,023
Based on 35 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 97535
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| City of Hope National Medical Center , CA | $14,783 | $7,392 | 45527% |
| Helen Keller Hospital , AL | $13,283 | $13,283 | 40898% |
| Springhill Medical Center , AL | $11,751 | $11,751 | 36167% |
| Huntsville Hospital , AL | $10,565 | $10,565 | 32508% |
| Rehabilitation Hospital of Rhode Island , RI | $4,265 | $4,265 | 13062% |
| Stonewall Jackson Hospital , WV | — | — | 12207% |
| Bienville Medical Center , LA | $3,450 | $2,070 | 10547% |
| Rehabilitation Hospital of Indana Indianapolis, IN | $229 | — | 8881% |
| HealthSource Saginaw , MI | — | — | 5456% |
| HealthSource Saginaw , MI | — | — | 5456% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 2878% |
| Rehoboth McKinley Christian Health Care Services , NM | $733 | $220 | 2162% |
| Perry County Memorial Hospital , IN | $555 | $389 | 1613% |
| Baylor - Dallas Dallas, TX | — | — | 817% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 817% |
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About CPT 97535
CPT code 97535 refers to “Self care mngment training”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $32 in a facility (hospital or ambulatory surgery center) and $32in 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.