CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Community Memorial Hospital, Inc

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.2× the $35 Medicare rate · typically $35–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $8 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $42 This hospital $34 Cash price $61 Hospital's list price $76

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 $34

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 $42 (about 1.2× the $35 Medicare rate). Community Memorial Hospital, Inc charges insurers about $34, or about $61 in cash — below the fair price — a good deal. Located in Hamilton, 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✓ Humana CignaKaiser 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 $24 - $36 68%
Blue Cross Blue Shieldmajor $34 - $44 97%
Aetnamajor $29 - $37 83%
Humanamajor $32 - $34 91%
Fidelis Care $19 - $24 54%
MVP Health Care $34 97%
+ 2 smaller / regional plans $34 - $35

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals