CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: North Alabama Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $29–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Below the fair price — a good deal
about $4 under the fair price · 0.8× Medicare
Medicare pays $35 Fair price $33 This hospital $29 Cash price $83 Hospital's list price $238

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 7 of 8 other AL hospitals charge more for the same procedure.

Cheapest $16 Priciest $32

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 $33 (about 0.9× the $35 Medicare rate). North Alabama Medical Center charges insurers about $29, or about $83 in cash — below the fair price — a good deal. Located in Florence, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $23 - $29 66%
Blue Cross Blue Shieldmajor $29 - $57 83%
Aetnamajor $25 - $65 71%
Cignamajor $117 - $164 334%
Humanamajor $25 71%
Ambetter (Centene) $27 77%
Cigna HealthSpring $34 97%
+ 1 smaller / regional plan $413

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Facility Profile & Credentials

  • Address: 1701 Veterans Drive, Florence, AL 35630
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals