CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Presbyterian Community 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 $22–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $14 under the fair price · 0.7× Medicare
Medicare pays $35 Fair price $39 This hospital $25 Hospital's list price $39

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Highest price of the 2 PR hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $25

Black dot = this hospital, among the 2 PR hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $39 (about 1.1× the $35 Medicare rate). Presbyterian Community Hospital charges insurers about $25 — below the fair price — a good deal. Located in San Juan, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
No insurance-company prices are published for this procedure.
+ 4 smaller / regional plans $20 - $29
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1451 Ashford Avenue, El Condado, San Juan, PR 00907
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Compare: Occupational therapy (therapeutic activities) at other PR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.