CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Wilson Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$57
about 1.6× the $35 Medicare rate · typically $35–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$137
Well above the fair price
about $80 over the fair price · 3.9× Medicare
Medicare pays $35 Fair price $57 This hospital $137 Cash price $85 Hospital's list price $213

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $137

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 $57 (about 1.6× the $35 Medicare rate). Wilson Medical Center charges insurers about $137, or about $85 in cash — well above the fair price. Located in Wilson, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $57. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
AmeriHealth $137 391%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1705 S Tarboro St, Wilson, NC 27893
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals