CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: St Francis Hospital - the Heart Center
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$77
about 2.2× the $35 Medicare rate · typically $26–$139
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $77 Hospital's list price $197
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 | $5 - $303 | 14% |
| Blue Cross Blue Shieldmajor | $109 - $143 | 311% |
| Aetnamajor | $98 - $356 | 279% |
| Cignamajor | $138 - $293 | 393% |
| AmeriHealth | $89 | 254% |
| Fidelis Care | $4 - $5 | 11% |
| MVP Health Care | $293 | 835% |
| Oscar Health | $81 | 231% |
| UniCare | $138 | 393% |
| + 34 smaller / regional plans | $4 - $356 |
Government programs also on file: Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St Francis Hospital - the Heart Center
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.