CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: High Point Regional Health System
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$150
about 4.3× the $35 Medicare rate · typically $44–$244
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $150 Cash price $82 Hospital's list price $164
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 | $24 - $301 | 68% |
| Blue Cross Blue Shieldmajor | $51 - $83 | 145% |
| Aetnamajor | $49 - $107 | 140% |
| Cignamajor | $89 - $90 | 254% |
| Humanamajor | $152 - $156 | 433% |
| Ambetter (Centene) | $52 | 148% |
| AmeriHealth | $24 - $53 | 68% |
| Oscar Health | $49 - $66 | 140% |
| WellCare | $24 | 68% |
| + 7 smaller / regional plans | $24 - $97 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at High Point Regional Health System
Compare: Occupational therapy (therapeutic activities) at other NC hospitals
- Carteret General Hospital · Morehead City $28
- North Carolina Baptist Hospital · Winston-Salem $33
- Columbus Regional Healthcare System · Whiteville $33
- Carolinas Medical Center-Northeast · Concord $34
- Memorial Mission Hospital and Asheville Surgery Ce · Asheville $34
- UNC Health Care Wayne · Goldsboro $34
- Atrium Health Cleveland · Shelby $34
- Ecu Health Medical Center · Greenville $34
Insurance negotiated median for the same procedure, sorted lowest first.