CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Hill Hospital of Sumter County
Billing Code: 97530 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $31–$48
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $35 Hospital's list price $30
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 | $45 | 128% |
| Blue Cross Blue Shieldmajor | $62 | 177% |
| Aetnamajor | $45 | 128% |
| Cignamajor | $45 | 128% |
| Humanamajor | $45 | 128% |
| + 2 smaller / regional plans | $45 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Hill Hospital of Sumter County
Compare: Occupational therapy (therapeutic activities) at other AL hospitals
- University of Alabama Hospital · Birmingham $16
- North Alabama Medical Center · Florence $29
- Hale County Hospital · Greensboro $31
- D W McMillan Memorial Hospital · Brewton $31
- Atmore Community Hospital · Atmore $31
- Southeast Health Medical Center · Dothan $32
- Dale Medical Center · Ozark $32
- Floyd Cherokee Medical Center · Centre $32
Insurance negotiated median for the same procedure, sorted lowest first.