Price Checker / CPT 97763
CPT 97763 — Orthc/prostc mgmt sbsq enc
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$50
What Medicare pays in a hospital/ASC setting
$50
What Medicare pays in a physician's office
$405
Based on 12 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 97763
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% |
| UM Upper Chesapeake Behavior Health Pavilion at Aberdeen , MD | $448 | $440 | 795% |
| Helen Hayes Hospital , NY | $382 | $382 | 662% |
| Penn Medicine Good Shepherd Rehabilitation Specialty Hospital , PA | $155 | $150 | 209% |
| Baptist Health Rehabilitation Institute-Little Rock , AR | $150 | $38 | 199% |
| Good Shepherd Rehabilitation Hospital , PA | $144 | $33 | 187% |
| 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?
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About CPT 97763
CPT code 97763 refers to “Orthc/prostc mgmt sbsq enc”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $50 in a facility (hospital or ambulatory surgery center) and $50in 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.