Price Checker / CPT 97537
How much does Community/work Reintegration cost?
CPT 97537 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about above the fair price. You have grounds to ask for a reduction.
Fair price
$120–$150
What this should cost
With insurance
~$320
Typical out-of-pocket
Overcharged if over
$190
Push back above this
The average hospital charge of $251 is $111 over the fair price.
What hospitals charge for Community/work Reintegration
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% |
| 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% |
| Allendale County Hospital FAIRFAX, SC | $175 | $149 | 446% |
| Select Medical Rehabilitation Hospital of Denton Denton, TX | — | — | 409% |
| Elkhorn Valley Rehabilitation Hospital, LLC , WY | $65 | — | 368% |
| Lafayette Regional Rehabilitation Hospital LLC Lafayette, IN | $65 | — | 337% |
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 Community/work Reintegration
CPT code 97537 refers to community/work reintegration (billing description: "Community/work reintegration"). 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.