CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$78
about 2.2× the $35 Medicare rate · typically $35–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Above the fair price
about $52 over the fair price · 3.7× Medicare
Medicare pays $35 Fair price $78 This hospital $130 Cash price $123 Hospital's list price $189

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 $130

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 $78 (about 2.2× the $35 Medicare rate). Cleveland Clinic Children's Hospital for Rehab charges insurers about $130, or about $123 in cash — above the fair price. Located in Cleveland, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $78. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $108 - $139 308%
Blue Cross Blue Shieldmajor $129 - $143 368%
Aetnamajor $72 - $189 205%
Cignamajor $82 - $151 234%
AmeriHealth $136 388%
CareSource $132 376%
Molina $130 371%
Oscar Health $57 - $73 163%
Paramount $127 362%
UPMC Health Plan $113 322%
+ 13 smaller / regional plans $64 - $170
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: 2801 Martin Luther King, Jr Drive, Cleveland, OH 44104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens