CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Reading Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$55
about 1.6× the $35 Medicare rate · typically $19–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $1 over the fair price · 1.6× Medicare
Medicare pays $35 Fair price $55 This hospital $56 Cash price $96 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $13 Priciest $56

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $55 (about 1.6× the $35 Medicare rate). Reading Hospital charges insurers about $56, or about $96 in cash — about the fair price. Located in West Reading, PA.

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 $16 - $111 46%
Blue Cross Blue Shieldmajor $55 - $93 157%
Aetnamajor $99 282%
Cignamajor $200 570%
Geisinger $87 248%
Health Net $62 177%
UPMC Health Plan $55 - $74 157%
+ 3 smaller / regional plans $55 - $130
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 420 S 5Th Avenue, West Reading, PA 19611
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals