CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $57
Cash Discount Price: $335
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at HCA Florida Pasadena Hospital A Part of HCA Florid is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 1.63x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$35.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $35.07 (100%)

Cash / Self-Pay: $335 (955%)

Insurance Median: $57 (163%)

Cash: $335 (955% of Medicare)

Ins. Median: $57 (163% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Access 2 Healthcare Physicians Freedom Optimum Group Members	$6 - $17	17%
Blue Cross Blue Shield	$6 - $17	17%
Access 2 Healthcare Physicians Freedom Health	$9 - $26	26%
Access 2 Healthcare Physicians Optimum	$9 - $26	26%
Aetna	$9 - $108	26%
Avmed	$10 - $90	29%
Freedom Health Care	$10 - $28	29%
Optimum Healthcare	$10 - $28	29%
Simply Healthcare	$16 - $56	46%
Oscar	$19 - $54	54%
United	$21 - $163	60%
Cigna	$23 - $65	66%
Molina	$25 - $98	71%
Evolutions Healthcare Systems	$30 - $332	86%
Humana	$33 - $101	94%
Sunshine State Health Plan	$33 - $92	94%
Corvel Corporation	$41	117%
Rockport Healthcare Group	$41	117%
Prime Health	$42	120%
Plotkin Health	$65 - $181	185%
Prime Health Sheriff	$65 - $181	185%
Multiplan	$97 - $307	277%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $335.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97530.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Pasadena Hospital A Part of HCA Florid is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97530.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.