CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Atlantic Rehabilitation Institute, LLC
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$67
about 1.9× the $35 Medicare rate · typically $34–$122
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $67 Cash price $99 Hospital's list price $99
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 | $99 | 282% |
| Blue Cross Blue Shieldmajor | $99 | 282% |
| Aetnamajor | $99 | 282% |
| Cignamajor | $99 | 282% |
| Ambetter (Centene) | $99 | 282% |
| AmeriHealth | $99 | 282% |
| Oscar Health | $99 | 282% |
| UPMC Health Plan | $99 | 282% |
| WellCare | $99 | 282% |
| + 11 smaller / regional plans | $99 |
Government programs also on file: Medicaid.
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Other Procedures at Atlantic Rehabilitation Institute, LLC
Compare: Occupational therapy (therapeutic activities) at other NJ hospitals
- St Luke's Warren Hospital · Phillipsburg $20
- The University Hospital · Newark $27
- Centrastate Medical Center · Freehold $38
- Morristown Medical Center · Morristown $39
- Chilton Medical Center · Pompton Plains $39
- St Joseph's University Medical Center Inc · Paterson $39
- Newton Medical Center · Newton $39
- Overlook Medical Center · Summit $39
Insurance negotiated median for the same procedure, sorted lowest first.