CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: East Georgia Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.3× the $35 Medicare rate · typically $37–$47
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 under the fair price · 1.2× Medicare
Medicare pays $35 Fair price $44 This hospital $43 Cash price $71 Hospital's list price $230

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 $43

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 $44 (about 1.3× the $35 Medicare rate). East Georgia Regional Medical Center charges insurers about $43, or about $71 in cash — about the fair price. Located in Statesboro, 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✓ Humana CignaKaiser 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 $14 - $364 40%
Blue Cross Blue Shieldmajor $30 - $83 86%
Aetnamajor $88 - $900 251%
Humanamajor $32 91%
Ambetter (Centene) $59 168%
CareSource $34 - $59 97%
Clover Health $32 91%
Health Net $33 94%
+ 6 smaller / regional plans $22 - $196
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals