CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: North Carolina Baptist Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.3× the $35 Medicare rate · typically $33–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $14 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $47 This hospital $33 Cash price $82 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 6 of 8 other NC hospitals charge more for the same procedure.

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 $47 (about 1.3× the $35 Medicare rate). North Carolina Baptist Hospital charges insurers about $33, or about $82 in cash — below the fair price — a good deal. Located in Winston-Salem, 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 $33 - $58 94%
Blue Cross Blue Shieldmajor $33 - $57 94%
Aetnamajor $33 - $144 94%
Cignamajor $33 - $187 94%
Humanamajor $33 - $92 94%
Ambetter (Centene) $43 - $46 123%
AmeriHealth $36 - $46 103%
Devoted Health $33 94%
Oscar Health $48 - $61 137%
WellCare $33 - $39 94%
+ 13 smaller / regional plans $33 - $135
Government programs also on file: Medicare.
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: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals