CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Grandview Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 0.9× the $35 Medicare rate · typically $28–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $35 Fair price $32 This hospital $33 Cash price $85 Hospital's list price $439

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $16 Priciest $33

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). Grandview Medical Center charges insurers about $33, or about $85 in cash — about the fair price. Located in Birmingham, 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 $32 - $217 91%
Blue Cross Blue Shieldmajor $67 191%
Aetnamajor $33 - $123 94%
Cignamajor $33 - $171 94%
Humanamajor $32 91%
Ambetter (Centene) $49 140%
Cigna HealthSpring $57 163%
Clover Health $33 94%
Devoted Health $33 94%
SelectHealth $32 91%
WellCare $33 94%
+ 19 smaller / regional plans $32 - $399
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals