CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Gettysburg Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$124
about 3.5× the $35 Medicare rate · typically $74–$207
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $8 under the fair price · 3.3× Medicare
Medicare pays $35 Fair price $124 This hospital $116 Cash price $118 Hospital's list price $148

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 $116

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 $124 (about 3.5× the $35 Medicare rate). Gettysburg Hospital charges insurers about $116, or about $118 in cash — about the fair price. Located in Gettysburg, 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 $140 399%
Blue Cross Blue Shieldmajor $50 - $194 143%
Aetnamajor $34 - $135 97%
Cignamajor $133 - $138 379%
Geisinger $141 402%
UPMC Health Plan $40 - $138 114%
+ 1 smaller / regional plan $33 - $138
Government programs also on file: Medicare, Medicaid.
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: 147 Gettys Street, Gettysburg, PA 17325
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals