CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Samaritan Hospital of Troy, New York
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$65
about 1.9× the $35 Medicare rate · typically $31–$144
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $65 Cash price $77 Hospital's list price $118
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 | $11 - $383 | 31% |
| Blue Cross Blue Shieldmajor | $5 - $297 | 14% |
| Aetnamajor | $36 - $230 | 103% |
| Cignamajor | $269 | 767% |
| Fidelis Care | $61 | 174% |
| GEHA | $230 | 656% |
| Harvard Pilgrim | $383 | 1092% |
| HealthPartners | $269 | 767% |
| Independent Health | $100 | 285% |
| MagnaCare | $100 | 285% |
| Medical Mutual | $230 | 656% |
| MVP Health Care | $158 - $170 | 451% |
| Priority Health | $269 | 767% |
| Tufts Health Plan | $269 | 767% |
| UniCare | $133 | 379% |
| + 21 smaller / regional plans | $34 - $316 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Occupational therapy (therapeutic activities) at other NY hospitals
- Highland Hospital · Rochester $13
- Sisters of Charity Hospital · Buffalo $24
- Kenmore Mercy Hospital · Kenmore $24
- Strong Memorial Hospital · Rochester $25
- Cayuga Medical Center at Ithaca · Ithaca $25
- F F Thompson Hospital · Canandaigua $31
- Westfield Memorial Hospital Inc · Westfield $33
- Jones Memorial Hospital · Wellsville $34
Insurance negotiated median for the same procedure, sorted lowest first.