CPT 97130 Physical Therapy
Therapeutic cognitive intervention, additional 15 minutes Cost
Body System: Nervous
Medicare Facility Rate
$19
CMS PFS CY2026
Medicare Non-Facility Rate
$28
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.45
Work RVU
0.14
Facility PE RVU
0.01
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $27 | $38 — $59 |
| AL — ALABAMA | $18 | $27 — $41 |
| AR — ARKANSAS | $18 | $27 — $41 |
| AZ — ARIZONA | $18 | $27 — $42 |
| CA — BAKERSFIELD | $19 | $29 — $44 |
| CA — CHICO | $19 | $28 — $44 |
| CA — EL CENTRO | $19 | $28 — $44 |
| CA — FRESNO | $19 | $28 — $44 |
| CA — HANFORD-CORCORAN | $19 | $28 — $44 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $20 | $30 — $45 |
| CA — MADERA | $19 | $28 — $44 |
| CA — MERCED | $19 | $28 — $44 |
| CA — MODESTO | $19 | $28 — $44 |
| CA — NAPA | $20 | $31 — $48 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $19 | $29 — $45 |
| CA — REDDING | $19 | $28 — $44 |
| CA — REST OF CALIFORNIA | $19 | $28 — $44 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $19 | $29 — $44 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $19 | $29 — $45 |
| CA — SALINAS | $19 | $29 — $45 |
Frequently Asked Questions
How much does Therapeutic cognitive intervention, additional 15 minutes cost?
The Medicare facility rate is $19. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Therapeutic cognitive intervention, additional 15 minutes cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $19.