CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Hospital General De Castaner

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$41
about 1.2× the $35 Medicare rate · typically $24–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $20 under the fair price · 0.6× Medicare
Medicare pays $35 Fair price $41 This hospital $21 Cash price $70 Hospital's list price $87

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Lowest price of the 2 PR hospitals we have prices for — a strong deal.

Cheapest $21 Priciest $25

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $41 (about 1.2× the $35 Medicare rate). Hospital General De Castaner charges insurers about $21, or about $70 in cash — below the fair price — a good deal. Located in Castaner, PR.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $41 117%
+ 4 smaller / regional plans $11 - $41
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: Carr 135 Km 64 2, Castaner, PR 00631
  • 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.