CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Atrium Health Floyd Polk Medical Center
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$52
about 1.5× the $35 Medicare rate · typically $36–$146
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $52 Cash price $48 Hospital's list price $95
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $19 - $71 | 54% |
| Blue Cross Blue Shieldmajor | $19 - $192 | 54% |
| Aetnamajor | $19 - $65 | 54% |
| Cignamajor | $19 - $250 | 54% |
| Humanamajor | $19 - $62 | 54% |
| Ambetter (Centene) | $28 | 80% |
| Amerigroup | $13 | 37% |
| CareSource | $13 - $28 | 37% |
| Clover Health | $25 | 71% |
| Oscar Health | $19 - $33 | 54% |
| WellCare | $19 | 54% |
| + 4 smaller / regional plans | $19 - $81 |
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Atrium Health Floyd Polk Medical Center
Compare: Occupational therapy (therapeutic activities) at other GA hospitals
- Miller County Hospital · Colquitt $20
- Putnam General Hospital · Eatonton $27
- Memorial Health Meadows Hospital · Vidalia $30
- Memorial Satilla Health · Waycross $31
- Savannah Health Services LLC DBA Memorial Health University Medical Center · Savannah $32
- Fairview Park Hospital · Dublin $32
- Doctors Hospital · Augusta $32
- Atrium Health Floyd Medical Center · Rome $33
Insurance negotiated median for the same procedure, sorted lowest first.