CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Southern Ohio Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.0× the $35 Medicare rate · typically $34–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $36 This hospital $34 Cash price $69 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $22 Priciest $34

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $36 (about 1.0× the $35 Medicare rate). Southern Ohio Medical Center charges insurers about $34, or about $69 in cash — about the fair price. Located in Portsmouth, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $121 345%
Blue Cross Blue Shieldmajor $47 - $108 134%
Aetnamajor $33 - $106 94%
Cignamajor $115 328%
Humanamajor $47 - $117 134%
CareSource $34 97%
Medical Mutual $102 - $113 291%
Molina $41 - $48 117%
+ 4 smaller / regional plans $35 - $121
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1805 27Th Street, Portsmouth, OH 45662
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals