Occupational therapy (therapeutic activities)
Facility: Southeast Health Medical Center
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $32 compared to the $32 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
A typical price — 0 charge more and 4 charge less, among the 9 AL hospitals compared.
Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.
A fair price for a Occupational therapy (therapeutic activities) is about $32 (about 0.9× the $35 Medicare rate). Southeast Health Medical Center charges insurers about $32, or about $45 in cash — about the fair price. Located in Dothan, AL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $32 - $116 | 91% |
| Blue Cross Blue Shieldmajor | $32 | 91% |
| Aetnamajor | $32 | 91% |
| Cignamajor | $32 | 91% |
| Humanamajor | $32 | 91% |
| Ambetter (Centene) | $44 | 125% |
| Security Health Plan | $32 | 91% |
| WellCare | $32 | 91% |
| + 4 smaller / regional plans | $32 - $45 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Southeast Health Medical Center
Compare: Occupational therapy (therapeutic activities) at other AL hospitals
- University of Alabama Hospital · Birmingham $16
- Hale County Hospital · Greensboro $31
- D W McMillan Memorial Hospital · Brewton $31
- Atmore Community Hospital · Atmore $31
- Dale Medical Center · Ozark $32
- Floyd Cherokee Medical Center · Centre $32
- The East Alabama Healthcare Authority · Opelika $32
- Highlands Medical Center · Scottsboro $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Southeast Health Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $41
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $41).
Self-Pay Cash Rate ($45) Beats Your Bill
Southeast Health Medical Center's published 45 CFR § 180 self-pay cash rate is $45 (vs. $32 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $32 Fair BaseRate ($35 Medicare)
Your bill ($112) is $80 above the denoised Fair BaseRate ($32) and 3.2× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.