CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Novant Health Medical Park Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 2.7× the $35 Medicare rate · typically $35–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $9 under the fair price · 2.4× Medicare
Medicare pays $35 Fair price $94 This hospital $85 Cash price $74 Hospital's list price $123

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 $85

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 $94 (about 2.7× the $35 Medicare rate). Novant Health Medical Park Hospital charges insurers about $85, or about $74 in cash — about the fair price. 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 $30 - $83 86%
Blue Cross Blue Shieldmajor $30 - $89 86%
Aetnamajor $62 - $98 177%
Cignamajor $48 - $73 137%
Humanamajor $96 274%
AmeriHealth $30 86%
CareSource $49 140%
WellCare $30 86%
+ 8 smaller / regional plans $29 - $119
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1950 S Hawthorne Rd, Winston-Salem, NC 27103
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals