CPT 97530 Physical Therapy
Therapeutic activities, each 15 minutes Cost
Body System: Musculoskeletal
Medicare Facility Rate
$20
CMS PFS CY2026
Medicare Non-Facility Rate
$31
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.44
Work RVU
0.17
Facility PE RVU
0.01
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $44 | $57 — $88 |
| AL — ALABAMA | $33 | $42 — $65 |
| AR — ARKANSAS | $32 | $42 — $64 |
| AZ — ARIZONA | $35 | $45 — $69 |
| CA — BAKERSFIELD | $37 | $49 — $75 |
| CA — CHICO | $37 | $48 — $75 |
| CA — EL CENTRO | $37 | $48 — $75 |
| CA — FRESNO | $37 | $48 — $75 |
| CA — HANFORD-CORCORAN | $37 | $48 — $75 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $39 | $51 — $79 |
| CA — MADERA | $37 | $48 — $75 |
| CA — MERCED | $37 | $48 — $75 |
| CA — MODESTO | $37 | $48 — $75 |
| CA — NAPA | $42 | $55 — $85 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $39 | $51 — $78 |
| CA — REDDING | $37 | $48 — $75 |
| CA — REST OF CALIFORNIA | $37 | $48 — $75 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $37 | $49 — $75 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $39 | $51 — $78 |
| CA — SALINAS | $39 | $50 — $78 |
Frequently Asked Questions
How much does Therapeutic activities, each 15 minutes cost?
The Medicare facility rate is $20. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Therapeutic activities, each 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 $20.