CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mount Carmel New Albany Surgical Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 1.3× the $35 Medicare rate · typically $33–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
1.3× Medicare
Medicare pays $35 Fair price $44 This hospital $44 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 $44

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 $44 (about 1.3× the $35 Medicare rate). Mount Carmel New Albany Surgical Hospital charges insurers about $44, or about $165 in cash — about the fair price. Located in New Albany, 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 $172 - $283 490%
Blue Cross Blue Shieldmajor $33 - $254 94%
Aetnamajor $33 - $254 94%
Cignamajor $232 662%
Humanamajor $130 - $254 371%
AmeriHealth $119 339%
CareSource $185 528%
GEHA $114 - $283 325%
HealthLink $190 542%
HealthPartners $232 662%
MagnaCare $119 339%
Medical Mutual $61 - $202 174%
MVP Health Care $232 662%
Oscar Health $55 157%
Priority Health $232 662%
Sentara $254 724%
UniCare $119 339%
+ 90 smaller / regional plans $34 - $632
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7333 Smith's Mill Road, New Albany, OH 43054
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals