Price Checker / CPT 97542
CPT 97542 — Wheelchair mngment training
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$31
What Medicare pays in a hospital/ASC setting
$31
What Medicare pays in a physician's office
$467
Based on 20 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 97542
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 | 11466% |
| HealthSource Saginaw , MI | — | — | 5695% |
| HealthSource Saginaw , MI | — | — | 5695% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 3007% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $284 | $71 | 814% |
| Helen Hayes Hospital , NY | $245 | $245 | 689% |
| Leahi Hospital , HI | $208 | $135 | 570% |
| Fairmont Hospital , CA | $204 | $102 | 558% |
| Penn Medicine Good Shepherd Rehabilitation Specialty Hospital , PA | $151 | $150 | 386% |
| Lindner Center of Hope , OH | $147 | $69 | 373% |
| Good Shepherd Rehabilitation Hospital , PA | $144 | $33 | 364% |
| Lexington Regional Rehabilitation Hospital Cayce, SC | $105 | — | 222% |
| Midlands Regional Rehabilitation Hospital, LLC Elgin, SC | $65 | — | 190% |
| Unity Psychiatric Care in Clarksville Clarksville, TN | $80 | — | 156% |
| Unity Psychiatric Care in Columbia Columbia, TN | $80 | — | 156% |
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About CPT 97542
CPT code 97542 refers to “Wheelchair mngment training”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $31 in a facility (hospital or ambulatory surgery center) and $31in 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.