CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Bellevue Hospital Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$105

about 3.0× the $35 Medicare rate · typically $36–$145

modeled estimate · not a bill or quote

What this hospital charges insurers

$119

About the fair price

about $14 over the fair price · 3.4× Medicare

Medicare pays $35 Fair price $105 This hospital $119 Cash price $47 Hospital's list price $183

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 $119

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 $105 (about 3.0× the $35 Medicare rate). Bellevue Hospital Center charges insurers about $119, or about $47 in cash — about the fair price. Located in New York, NY.

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	$119 - $504	339%
Blue Cross Blue Shieldmajor	$39 - $267	111%
Aetnamajor	$21 - $257	60%
Cignamajor	$241	687%
Fidelis Care	$39 - $267	111%
MagnaCare	$201 - $320	573%
Oscar Health	$49 - $614	140%
WellCare	$40 - $161	114%
+ 15 smaller / regional plans	$20 - $410

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 47), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97530.

Insurance Before you use insurance

Call your insurance company to confirm Bellevue Hospital Center is in-network.
Ask your insurer whether prior approval is required for CPT code 97530.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bellevue Hospital Center

Compare: Occupational therapy (therapeutic activities) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.