Training for community or work reintegration, each 15 minutes
Medicare pricing data for 539 providers across 23 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Training for community or work reintegration, each 15 minutes (HCPCS code 97537) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.26, but hospitals typically charge $52.45 — a 2.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.26, your out-of-pocket cost would be approximately $5.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $19.68 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $35 | $109 | 2 | 35 | +39.7% |
| New York | $28 | $65 | 43 | 3,286 | +12.5% |
| New Jersey | $27 | $71 | 20 | 371 | +7.7% |
| California | $26 | $57 | 46 | 513 | +1.9% |
| Minnesota | $25 | $96 | 9 | 210 | +0.6% |
| Maryland | $25 | $50 | 8 | 36 | +0.1% |
| Washington | $25 | $44 | 22 | 209 | -1.5% |
| Virginia | $25 | $49 | 20 | 337 | -1.7% |
| Illinois | $25 | $51 | 14 | 114 | -2.4% |
| Utah | $24 | $50 | 6 | 140 | -3.4% |
| Florida | $24 | $36 | 4 | 58 | -4.0% |
| Arizona | $24 | $44 | 7 | 105 | -4.4% |
| Wisconsin | $24 | $34 | 4 | 168 | -4.5% |
| Texas | $24 | $43 | 14 | 170 | -4.6% |
| Pennsylvania | $24 | $44 | 14 | 182 | -5.9% |
| North Carolina | $23 | $38 | 12 | 125 | -7.4% |
| Georgia | $23 | $34 | 109 | 2,782 | -8.2% |
| Alabama | $23 | $33 | 9 | 110 | -8.4% |
| Tennessee | $23 | $32 | 46 | 648 | -8.5% |
| South Carolina | $23 | $33 | 12 | 58 | -8.9% |
| New Hampshire | $23 | $55 | 8 | 197 | -9.3% |
| Kentucky | $22 | $81 | 40 | 717 | -11.2% |
| Colorado | $22 | $33 | 5 | 44 | -11.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber