CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: South Pointe Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.2× the $35 Medicare rate · typically $33–$49
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $5 over the fair price · 1.4× Medicare
Medicare pays $35 Fair price $43 This hospital $48 Cash price $165 Hospital's list price $254

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 $48

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $43 (about 1.2× the $35 Medicare rate). South Pointe Hospital charges insurers about $48, or about $165 in cash — about the fair price. Located in Warrensville Heights, 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 $45 - $238 128%
Blue Cross Blue Shieldmajor $85 - $164 242%
Aetnamajor $45 - $254 128%
Cignamajor $46 - $203 131%
Humanamajor $45 - $216 128%
AmeriHealth $89 254%
CareSource $86 245%
Molina $85 242%
Oscar Health $77 - $98 220%
Paramount $83 237%
UPMC Health Plan $45 - $152 128%
+ 16 smaller / regional plans $45 - $229
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 20000 Harvard Road, Warrensville Heights, OH 44122
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals