CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: The Children's Hospital of Alabama

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$118
about 3.4× the $35 Medicare rate · typically $50–$238
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
about $5 under the fair price · 3.2× Medicare
Medicare pays $35 Fair price $118 This hospital $113 Cash price $48 Hospital's list price $113

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 $113

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 $118 (about 3.4× the $35 Medicare rate). The Children's Hospital of Alabama charges insurers about $113, or about $48 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.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $68 - $88 194%
Aetnamajor $96 274%
Cignamajor $91 - $113 259%
+ 3 smaller / regional plans $77 - $101

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1600 Seventh Avenue South, Birmingham, AL 35233
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens