CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: PAM Rehabilitation Hospital of Dayton LLC

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $33–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $15 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $48 This hospital $33 Cash price $175 Hospital's list price $175

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.

⚠ 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 $48 (about 1.4× the $35 Medicare rate). PAM Rehabilitation Hospital of Dayton LLC charges insurers about $33, or about $175 in cash — below the fair price — a good deal. Located in Miamisburg, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $33 - $175 94%
Blue Cross Blue Shieldmajor $33 - $140 94%
Aetnamajor $24 - $33 68%
Humanamajor $33 - $49 94%
CareSource $33 - $49 94%
Medical Mutual $33 - $100 94%
Molina $33 - $49 94%
+ 8 smaller / regional plans $32 - $131
Excludes 3 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: 2310 Crosspointe Dr, Miamisburg, OH 45342
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL