CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Atrium Health Cleveland

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $28–$40
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $35 Fair price $33 This hospital $34 Cash price $101 Hospital's list price $203

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 $33 (about 0.9× the $35 Medicare rate). Atrium Health Cleveland charges insurers about $34, or about $101 in cash — about the fair price. Located in Shelby, 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 $24 - $108 68%
Blue Cross Blue Shieldmajor $38 - $83 108%
Aetnamajor $34 - $156 97%
Cignamajor $33 - $162 94%
Humanamajor $34 97%
Ambetter (Centene) $65 - $74 185%
AmeriHealth $24 - $29 68%
Health Net $90 257%
WellCare $24 - $29 68%
+ 16 smaller / regional plans $24 - $187
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 201 E Grover St, Shelby, NC 28150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals