Price Checker / CPT 97537
CPT 97537 — Community/work reintegration
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
$403
Based on 40 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 97537
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 | 13202% |
| CHI Health Mercy Corning , IA | $1,888 | $906 | 5789% |
| CHI Health Missouri Valley , IA | $1,888 | $925 | 5789% |
| CHI Health Plainview , NE | $1,888 | $1,586 | 5789% |
| CHI Health Schuyler , NE | $1,888 | $1,605 | 5789% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 2910% |
| Covenant Rehabilitation Hospital of Lubbock, LLC Lubbock, TX | $65 | — | 859% |
| Baylor - Dallas Dallas, TX | — | — | 826% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 826% |
| Baylor - Frisco Frisco, TX | — | — | 826% |
| Baylor - Lakeway Lakeway, TX | — | — | 826% |
| Summa Rehab Hospital, LLC Akron, OH | $105 | — | 664% |
| SSM Health Rehabilitation Hospital - Bridgeton Saint Louis, MO | — | — | 558% |
| SSM Health Rehabilitation Hospital - Lake St. Louis Lake St. Louis, MO | — | — | 558% |
| SSM Health Rehabilitation Hospital - Richmond Heights Richmond Heights, MO | — | — | 558% |
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About CPT 97537
CPT code 97537 refers to “Community/work reintegration”. 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.