CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Betsy Johnson Regional Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $35 Medicare rate · typically $32–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
1.0× Medicare
Medicare pays $35 Fair price $34 This hospital $34 Cash price $88 Hospital's list price $147

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 $34 (about 1.0× the $35 Medicare rate). Betsy Johnson Regional Hospital charges insurers about $34, or about $88 in cash — about the fair price. Located in Dunn, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $34 - $35 97%
Aetnamajor $34 - $84 97%
Humanamajor $34 - $37 97%
Ambetter (Centene) $50 - $67 143%
WellCare $34 97%
+ 7 smaller / regional plans $34 - $37
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: 800 Tilghman Dr, Dunn, NC 28334
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals