CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: East Jefferson General Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $17–$60
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $35 Cash price $35 Hospital's list price $252
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 | $9 - $180 | 26% |
| Blue Cross Blue Shieldmajor | $77 - $87 | 220% |
| Aetnamajor | $9 | 26% |
| Humanamajor | $9 | 26% |
| AmeriHealth | $9 | 26% |
| + 2 smaller / regional plans | $9 |
Government programs also on file: Medicaid.
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Other Procedures at East Jefferson General Hospital
Compare: Occupational therapy (therapeutic activities) at other LA hospitals
- Madison Parish Hospital · Tallulah $13
- Childrens Hospital · New Orleans $13
- Christus Shreveport-Bossier Health System · Shreveport $14
- Christus Coushatta Health Care Center · Coushatta $14
- Allen Parish Hospital · Kinder $19
- Lallie Kemp Medical Center · Independence $19
- West Carroll Memorial Hospital · Oak Grove $26
- Ochsner St Martin Hospital · Breaux Bridge $28
Insurance negotiated median for the same procedure, sorted lowest first.