CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: St Marys Rehabilitation Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.1× the $35 Medicare rate · typically $27–$98
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $39 Cash price $221 Hospital's list price $221
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $221 | 630% |
| Aetnamajor | $221 | 630% |
| Cignamajor | $221 | 630% |
| Humanamajor | $221 | 630% |
| Ambetter (Centene) | $221 | 630% |
| + 11 smaller / regional plans | $221 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Occupational therapy (therapeutic activities) at other PA hospitals
- Meadville Medical Center · Meadville $13
- Children's Home of Pittsburgh · Pittsburgh $14
- Geisinger-Community Medical Center · Scranton $15
- Geisinger-Bloomsburg Hospital · Bloomsburg $15
- Geisinger-Lewistown Hospital · Lewistown $15
- UPMC Greene · Waynesburg $15
- Geisinger Wyoming Valley Medical Center · Wilkes Barre $15
- Geisinger Jersey Shore Hospital · Jersey Shore $15
Insurance negotiated median for the same procedure, sorted lowest first.