CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Westchester Medical Center
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$97
about 2.8× the $35 Medicare rate · typically $34–$221
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $97 Cash price $134 Hospital's list price $356
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 | $183 - $274 | 522% |
| Blue Cross Blue Shieldmajor | $110 - $211 | 314% |
| Aetnamajor | $338 - $378 | 964% |
| Cignamajor | $330 | 941% |
| CDPHP | $88 - $96 | 251% |
| MagnaCare | $311 - $482 | 887% |
| MVP Health Care | $125 - $147 | 356% |
| + 2 smaller / regional plans | $194 - $377 |
Self-Pay How to get the cash price
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Other Procedures at Westchester Medical 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.