CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Nationwide Children's Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.5× the $35 Medicare rate · typically $32–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
Above the fair price
about $39 over the fair price · 2.7× Medicare
Medicare pays $35 Fair price $54 This hospital $93 Cash price $84 Hospital's list price $93

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 $93

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 $54 (about 1.5× the $35 Medicare rate). Nationwide Children's Hospital charges insurers about $93, or about $84 in cash — above the fair price. Located in Columbus, 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 $54. 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.

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 $60 - $131 171%
Blue Cross Blue Shieldmajor $60 - $131 171%
Aetnamajor $70 - $88 200%
Cignamajor $70 - $87 200%
Humanamajor $84 - $131 240%
AmeriHealth $131 374%
CareSource $50 - $131 143%
Molina $131 374%
UniCare $88 251%
+ 8 smaller / regional plans $67 - $91
Government programs also on file: Military & VA.
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: 700 Children's Drive, Columbus, OH 43205
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens