CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Phoenix Children's Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$132
about 3.8× the $35 Medicare rate · typically $28–$401
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $132 Hospital's list price $413
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $503 - $637 | 1434% |
| Blue Cross Blue Shieldmajor | $157 - $212 | 448% |
| Aetnamajor | $189 - $303 | 539% |
| Cignamajor | $287 - $473 | 818% |
| + 3 smaller / regional plans | $165 - $268 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's Hospital
Compare: Occupational therapy (therapeutic activities) at other AZ hospitals
- Abrazo Scottsdale Campus · Phoenix $17
- Abrazo Arrowhead Hospital · Glendale $17
- Verde Valley Medical Center · Cottonwood $34
- Flagstaff Medical Center · Flagstaff $34
- PAM Health Rehabilitation Hospital of Surprise · Surprise $34
- Valleywise Health Medical Center · Phoenix $35
- Tucson Medical Center · Tucson $36
- Canyon Vista Medical Center · Sierra Vista $36
Insurance negotiated median for the same procedure, sorted lowest first.