Price Checker / CPT 97763
How much does Orthc/prostc Mgmt Sbsq Enc cost?
CPT 97763 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.1x the fair price. You have grounds to ask for a reduction.
Fair price
$200–$230
What this should cost
With insurance
~$80,800
Typical out-of-pocket
Overcharged if over
$290
Push back above this
The average hospital charge of $467 is $247 over the fair price (about 2.1x the fair rate).
What hospitals charge for Orthc/prostc Mgmt Sbsq Enc
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stonewall Jackson Hospital , WV | — | — | 6152% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 1826% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $150 | $38 | 199% |
| Laredo Rehabilitation Hospital, LLC Laredo, TX | $65 | — | 140% |
| Lexington Regional Rehabilitation Hospital Cayce, SC | $105 | — | 100% |
| Midlands Regional Rehabilitation Hospital, LLC Elgin, SC | $65 | — | 80% |
| Spartanburg Rehabilitation Institute, Inc. Spartanburg, SC | $72 | — | 58% |
| Utah Valley Specialty Hospital, Inc. Provo, UT | $65 | — | 30% |
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 Orthc/prostc Mgmt Sbsq Enc
CPT code 97763 refers to orthc/prostc mgmt sbsq enc (billing description: "Orthc/prostc mgmt sbsq enc"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $50 in a facility (hospital or surgery center) and $50 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.