CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Ohio State University State Health System

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.1× the $35 Medicare rate · typically $33–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Well above the fair price
about $32 over the fair price · 2.1× Medicare
Medicare pays $35 Fair price $40 This hospital $72 Hospital's list price $194

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 $72

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 $40 (about 1.1× the $35 Medicare rate). Ohio State University State Health System charges insurers about $72 — well above the fair price. Located in Columbus, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $40. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $314 - $331 895%
Blue Cross Blue Shieldmajor $70 - $189 200%
Aetnamajor $57 - $156 163%
Cignamajor $126 359%
Humanamajor $89 254%
+ 7 smaller / regional plans $42 - $146
Excludes 4 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

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals