Occupational therapy (therapeutic activities)
Facility: Riverside Community Hospital
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $37
- Cash Discount Price: $545
- vs. Medicare Baseline: 1.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| La Care Health | $13 | 37% |
| Molina | $13 | 37% |
| Brand New Day | $14 - $37 | 40% |
| Inland Empire Health Plan | $19 - $63 | 54% |
| Bristol Hospice | $26 - $30 | 74% |
| Aetna | $32 - $100 | 91% |
| Alignment Health Plan | $33 - $37 | 94% |
| Blue Cross Blue Shield | $33 - $37 | 94% |
| Care1St Health Plan | $33 - $38 | 94% |
| Central Health Plan | $33 - $37 | 94% |
| Clever Care Of Golden State | $33 - $37 | 94% |
| Easy Choice Health Plan | $33 - $37 | 94% |
| Heritage Provider Network | $33 - $51 | 94% |
| Humana | $33 - $37 | 94% |
| Redlands Community Hospital | $33 - $37 | 94% |
| Riverside Medical Clinic | $33 - $45 | 94% |
| Riverside Physician | $33 - $37 | 94% |
| Scan Health Plan | $33 - $37 | 94% |
| Triwest Healthcare Alliance | $33 - $37 | 94% |
| United | $33 - $146 | 94% |
| UnitedHealthcare | $33 - $37 | 94% |
| Blue Shield | $35 - $91 | 100% |
| Health Net | $37 - $124 | 106% |
| Corvel Corporation | $38 - $43 | 108% |
| Healthsmart | $39 - $443 | 111% |
| Next | $39 - $443 | 111% |
| Medcare Partners | $80 - $83 | 228% |
| Bright Health | $212 - $219 | 605% |
| First Health | $236 - $499 | 673% |
| American Health System | $241 - $249 | 687% |
| Multiplan | $428 - $471 | 1220% |