CPT 98975 Other
Rtm 1st set-up&pt educaj eqp Cost
Body System: General
Medicare Facility Rate
$22
CMS PFS CY2026
Medicare Non-Facility Rate
$22
Office/clinic setting
Hospital Outpatient
$136
OPPS rate
Frequently Asked Questions
How much does Rtm 1st set-up&pt educaj eqp cost?
The Medicare facility rate is $22. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $136.
How much does Rtm 1st set-up&pt educaj eqp 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 $22.