CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Long Island Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$64
about 1.8× the $35 Medicare rate · typically $31–$156
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $64 Cash price $47 Hospital's list price $363

How we calculate the fair BaseRate →

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 $187 - $221 533%
Blue Cross Blue Shieldmajor $222 - $363 633%
Aetnamajor $256 730%
Cignamajor $363 1035%
MagnaCare $347 - $363 989%
+ 2 smaller / regional plans $199 - $363

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: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals