CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Emory University Hospital Midtown

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–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $35 Fair price $36 This hospital $38 Cash price $203 Hospital's list price $203

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 $38

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $36 (about 1.0× the $35 Medicare rate). Emory University Hospital Midtown charges insurers about $38, or about $203 in cash — about the fair price. Located in Atlanta, GA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente UnitedHealthcare

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 - $65 103%
Cignamajor $36 - $37 103%
Humanamajor $84 240%
Kaiser Permanentemajor $128 365%
Ambetter (Centene) $75 214%
Clover Health $37 106%
Devoted Health $36 103%
WellCare $38 108%

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 550 Peachtree Street, Ne, Atlanta, GA 30308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals