Price Checker / CPT 97535
How much does Self Care Mngment Training cost?
CPT 97535 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 8.1x the fair price. This is well above fair — push back or dispute it.
Fair price
$50–$95
What this should cost
With insurance
~$630
Typical out-of-pocket
Overcharged if over
$120
Push back above this
The average hospital charge of $606 is $531 over the fair price (about 8.1x the fair rate).
What hospitals charge for Self Care Mngment Training
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 | $4,265 | $4,265 | 13062% |
| Stonewall Jackson Hospital , WV | — | — | 12207% |
| Rehabilitation Hospital of Indana Indianapolis, IN | $229 | — | 8881% |
| HealthSource Saginaw SAGINAW, MI | — | — | 5456% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 2878% |
| Perry County Memorial Hospital TELL CITY, IN | $555 | $389 | 1613% |
| Baylor - Dallas Dallas, TX | — | — | 817% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 817% |
| Baylor - Frisco Frisco, TX | — | — | 817% |
| Baylor - Lakeway Lakeway, TX | — | — | 817% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $250 | $63 | 672% |
| Laredo Rehabilitation Hospital, LLC Laredo, TX | $100 | — | 270% |
| Lexington Regional Rehabilitation Hospital Cayce, SC | $105 | — | 209% |
| Midlands Regional Rehabilitation Hospital, LLC Elgin, SC | $100 | — | 178% |
| Unity Psychiatric Care in Clarksville Clarksville, TN | $82 | — | 153% |
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 Self Care Mngment Training
CPT code 97535 refers to self care mngment training (billing description: "Self care mngment training"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $32 in a facility (hospital or surgery center) and $32 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.