CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: HCA Florida University Hospital

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $38
Cash Discount Price: $1,069
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at HCA Florida University Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,069. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 1.08x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$1,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $1,069 (3048%)

Insurance Median: $38 (108%)

Cash: $1,069 (3048% of Medicare)

Ins. Median: $38 (108% 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
Devoted Health	$31 - $36	88%
Humana	$31 - $363	88%
Ndms Definitive Care	$31 - $36	88%
United	$31 - $481	88%
Wellmed	$31 - $36	88%
Aetna	$32 - $321	91%
Blue Cross Blue Shield	$32 - $36	91%
American Health Plan	$33 - $38	94%
Oscar	$33 - $171	94%
Prominence Healthfirst	$33 - $37	94%
Sunshine State	$33 - $39	94%
Align	$34 - $38	97%
Cigna	$34 - $224	97%
Doctors Healthcare Plan	$34 - $39	97%
Florida Complete Care	$34 - $38	97%
Gold Kidney	$35 - $40	100%
Amerihealth Caritas	$38 - $182	108%
Longevity Health Plan	$38 - $43	108%
Careworks (Rockport)	$44	125%
Prime Health	$44	125%
Solis Health Plan	$45 - $52	128%
Freedom Health	$92	262%
Avmed	$139 - $534	396%
Simply Healthcare Plans	$139	396%
Simply Healthcare	$144	411%
Molina	$203	579%
Health Sun Health Plan	$228	650%
United Ppo	$253	721%
Sunshine State Health Plan	$282	804%

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 $1,069.
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 University Hospital 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.