CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Wilkes Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $35 Medicare rate · typically $34–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $37 This hospital $34 Cash price $55 Hospital's list price $109

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 $37 (about 1.1× the $35 Medicare rate). Wilkes Regional Medical Center charges insurers about $34, or about $55 in cash — about the fair price. Located in North Wilkesboro, NC.

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✓ Cigna HumanaKaiser 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 - $58 60%
Blue Cross Blue Shieldmajor $31 - $64 88%
Aetnamajor $41 - $75 117%
Cignamajor $57 - $59 163%
Ambetter (Centene) $46 - $66 131%
AmeriHealth $20 - $63 57%
Oscar Health $60 - $71 171%
WellCare $21 60%
+ 8 smaller / regional plans $20 - $64
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: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals