Occupational therapy (therapeutic activities)
Facility: Memorial Hospital
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $49 compared to the $46 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.07× fair market pricing.
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $46 (about 1.3× the $35 Medicare rate). Memorial Hospital charges insurers about $49, or about $105 in cash — about the fair price. Located in Fremont, 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
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 | $18 - $242 | 51% |
| Blue Cross Blue Shieldmajor | $32 - $242 | 91% |
| Aetnamajor | $19 - $242 | 54% |
| Cignamajor | $37 - $112 | 106% |
| Humanamajor | $33 - $157 | 94% |
| AmeriHealth | $100 - $199 | 285% |
| CareSource | $18 - $242 | 51% |
| Medical Mutual | $18 - $108 | 51% |
| Meridian | $18 - $157 | 51% |
| Molina | $18 - $242 | 51% |
| Paramount | $32 - $199 | 91% |
| + 4 smaller / regional plans | $18 - $242 |
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.
Other Procedures at Memorial Hospital
Compare: Occupational therapy (therapeutic activities) at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $22
- Cincinnati Children's Hospital Medical Center · Cincinnati $23
- University Hospitals Samaritan Medical Center · Ashland $33
- Riverside Methodist Hospital · Columbus $33
- Wilson Memorial Hospital · Sidney $33
- Ohiohealth O'Bleness Hospital · Athens $33
- Grant Medical Center · Columbus $33
- Parma Community General Hospital · Parma $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $58
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $58).
Self-Pay Cash Rate ($105) Beats Your Bill
Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $105 (vs. $49 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $46 Fair BaseRate ($35 Medicare)
Your bill ($161) is $115 above the denoised Fair BaseRate ($46) and 4.6× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.