CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Medstar Georgetown University Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.2× the $35 Medicare rate · typically $40–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $2 under the fair price · 1.2× Medicare
Medicare pays $35 Fair price $43 This hospital $41 Cash price $179 Hospital's list price $275

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Lowest price of the 4 DC hospitals we have prices for — a strong deal.

Cheapest $41 Priciest $141

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $43 (about 1.2× the $35 Medicare rate). Medstar Georgetown University Hospital charges insurers about $41, or about $179 in cash — about the fair price. Located in Washington, DC.

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 $39 - $96 111%
Blue Cross Blue Shieldmajor $39 - $219 111%
Aetnamajor $41 - $120 117%
Cignamajor $177 505%
Humanamajor $41 117%
Amerigroup $337 961%
AmeriHealth $337 961%
+ 2 smaller / regional plans $41 - $337
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3800 Reservoir Rd, Washington, DC 20007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals