CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: UNC Health Care Wayne

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $34–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $35 This hospital $34 Cash price $64 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 0 charge more and 3 charge less, among the 9 NC hospitals compared.

Cheapest $28 Priciest $34

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

A fair price for a Occupational therapy (therapeutic activities) is about $35 (about 1.0× the $35 Medicare rate). UNC Health Care Wayne charges insurers about $34, or about $64 in cash — about the fair price. Located in Goldsboro, NC.

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 $21 - $168 60%
Blue Cross Blue Shieldmajor $32 - $35 91%
Aetnamajor $35 - $59 100%
Cignamajor $35 - $138 100%
Humanamajor $33 94%
AmeriHealth $21 60%
WellCare $21 - $39 60%
+ 9 smaller / regional plans $21 - $138
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2700 Wayne Memorial Dr, Goldsboro, NC 27534
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals