CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Northeast Georgia Medical Center, Inc

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.0× the $35 Medicare rate · typically $35–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
1.0× Medicare
Medicare pays $35 Fair price $36 This hospital $36 Cash price $35 Hospital's list price $75

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 $36

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 $36 (about 1.0× the $35 Medicare rate). Northeast Georgia Medical Center, Inc charges insurers about $36, or about $35 in cash — about the fair price. Located in Gainesville, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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%
Humanamajor $37 106%

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Facility Profile & Credentials

  • Address: 743 Spring Street, Gainesville, GA 30501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals