CPT 97542 Physical Therapy
Wheelchair management training, each 15 minutes Cost
Body System: Musculoskeletal
Medicare Facility Rate
$14
CMS PFS CY2026
Medicare Non-Facility Rate
$21
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.30
Work RVU
0.12
Facility PE RVU
0.01
Malpractice RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $40 | $52 — $80 |
| AL — ALABAMA | $29 | $38 — $58 |
| AR — ARKANSAS | $29 | $38 — $58 |
| AZ — ARIZONA | $31 | $40 — $61 |
| CA — BAKERSFIELD | $33 | $43 — $66 |
| CA — CHICO | $33 | $43 — $66 |
| CA — EL CENTRO | $33 | $43 — $66 |
| CA — FRESNO | $33 | $43 — $66 |
| CA — HANFORD-CORCORAN | $33 | $43 — $66 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $34 | $45 — $69 |
| CA — MADERA | $33 | $43 — $66 |
| CA — MERCED | $33 | $43 — $66 |
| CA — MODESTO | $33 | $43 — $66 |
| CA — NAPA | $37 | $48 — $74 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $34 | $45 — $68 |
| CA — REDDING | $33 | $43 — $66 |
| CA — REST OF CALIFORNIA | $33 | $43 — $66 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $33 | $43 — $66 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $34 | $44 — $68 |
| CA — SALINAS | $34 | $44 — $68 |
Frequently Asked Questions
How much does Wheelchair management training, each 15 minutes cost?
The Medicare facility rate is $14. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Wheelchair management training, 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 $14.