CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Wellstar West Georgia Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.4× the $35 Medicare rate · typically $48–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
1.4× Medicare
Medicare pays $35 Fair price $49 This hospital $49 Cash price $78 Hospital's list price $201

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $49

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $49 (about 1.4× the $35 Medicare rate). Wellstar West Georgia Medical Center charges insurers about $49, or about $78 in cash — about the fair price. Located in Lagrange, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $36 103%
Aetnamajor $36 103%
Cignamajor $37 106%
Ambetter (Centene) $62 177%
CareSource $70 200%
Clover Health $38 108%
Oscar Health $60 171%
+ 1 smaller / regional plan $66

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Facility Profile & Credentials

  • Address: 1514 Vernon Road, Lagrange, GA 30240
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals