CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Ellis Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.5× the $35 Medicare rate · typically $33–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $1 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $53 This hospital $54 Cash price $83 Hospital's list price $166

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $13 Priciest $54

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

A fair price for a Occupational therapy (therapeutic activities) is about $53 (about 1.5× the $35 Medicare rate). Ellis Hospital charges insurers about $54, or about $83 in cash — about the fair price. Located in Schenectady, NY.

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 $133 379%
Blue Cross Blue Shieldmajor $36 103%
Aetnamajor $85 - $141 242%
CDPHP $54 154%
MVP Health Care $123 351%
+ 6 smaller / regional plans $17 - $192
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 1101 Nott Street, Schenectady, NY 12308
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals