CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Stephens County Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$67
about 1.9× the $35 Medicare rate · typically $36–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $23 under the fair price · 1.3× Medicare
Medicare pays $35 Fair price $67 This hospital $44 Cash price $27 Hospital's list price $44

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 $44

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 $67 (about 1.9× the $35 Medicare rate). Stephens County Hospital charges insurers about $44, or about $27 in cash — below the fair price — a good deal. Located in Toccoa, 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

✓ 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 $28 - $86 80%
Blue Cross Blue Shieldmajor $25 - $78 71%
Aetnamajor $27 - $83 77%
Cignamajor $29 - $88 83%
Amerigroup $10 - $31 29%
CareSource $32 - $98 91%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 163 Hospital Drive, Toccoa, GA 30577
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals