CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Nemours Children's Hospital, Delaware

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$62
about 1.8× the $35 Medicare rate · typically $37–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
About the fair price
1.8× Medicare
Medicare pays $35 Fair price $62 This hospital $62 Cash price $197 Hospital's list price $197

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

On the higher side — 5 of 6 other DE hospitals charge less.

Cheapest $35 Priciest $70

Black dot = this hospital, among the 7 DE 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 $62 (about 1.8× the $35 Medicare rate). Nemours Children's Hospital, Delaware charges insurers about $62, or about $197 in cash — about the fair price. Located in Wilmington, DE.

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 $72 - $123 205%
Blue Cross Blue Shieldmajor $73 - $201 208%
Aetnamajor $84 - $114 240%
Cignamajor $108 - $124 308%
Ambetter (Centene) $112 319%
AmeriHealth $112 319%
Fidelis Care $79 225%
Geisinger $118 336%
HealthPartners $76 217%
UPMC Health Plan $78 222%
+ 14 smaller / regional plans $39 - $197
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens