CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: The University Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $22–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
Below the fair price — a good deal
about $21 under the fair price · 0.8× Medicare
Medicare pays $35 Fair price $48 This hospital $27 Hospital's list price $215

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $20 Priciest $39

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $48 (about 1.4× the $35 Medicare rate). The University Hospital charges insurers about $27 — below the fair price — a good deal. Located in Newark, NJ.

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $63 180%
Blue Cross Blue Shieldmajor $64 182%
Aetnamajor $63 - $82 180%
AmeriHealth $17 48%
Fidelis Care $63 180%
Health Net $204 582%
+ 6 smaller / regional plans $36 - $194
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: 150 Bergen St, Newark, NJ 07103
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals