CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Pomerene Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $35 Medicare rate · typically $32–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $4 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $37 This hospital $33 Cash price $84 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 0 of 8 other OH hospitals charge more for the same procedure.

Cheapest $22 Priciest $33

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 $37 (about 1.1× the $35 Medicare rate). Pomerene Hospital charges insurers about $33, or about $84 in cash — below the fair price — a good deal. Located in Millersburg, 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 $29 - $92 83%
Blue Cross Blue Shieldmajor $29 - $88 83%
Aetnamajor $26 - $92 74%
Cignamajor $93 265%
Humanamajor $29 - $33 83%
Medical Mutual $29 - $92 83%
Molina $29 - $33 83%
+ 5 smaller / regional plans $29 - $98
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 981 Wooster Road, Millersburg, OH 44654
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals