CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Phoebe Sumter Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$45
about 1.3× the $35 Medicare rate · typically $42–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $1 under the fair price · 1.3× Medicare
Medicare pays $35 Fair price $45 This hospital $44 Cash price $29 Hospital's list price $49

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 $45 (about 1.3× the $35 Medicare rate). Phoebe Sumter Medical Center charges insurers about $44, or about $29 in cash — about the fair price. Located in Americus, GA.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $36 - $55 103%
Ambetter (Centene) $62 177%
Clover Health $37 106%
+ 2 smaller / regional plans $37 - $51

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Facility Profile & Credentials

  • Address: 126 Highway 280 W, Americus, GA 31719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals