CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Novant Health Hilton Head Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.2× the $35 Medicare rate · typically $33–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $6 over the fair price · 1.4× Medicare
Medicare pays $35 Fair price $43 This hospital $49 Cash price $37

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

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

Cheapest $12 Priciest $49

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

A fair price for a Occupational therapy (therapeutic activities) is about $43 (about 1.2× the $35 Medicare rate). Novant Health Hilton Head Medical Center charges insurers about $49, or about $37 in cash — about the fair price. Located in Hilton Head Island, SC.

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✓ Humana CignaKaiser 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 $215 - $560 613%
Blue Cross Blue Shieldmajor $37 - $89 106%
Aetnamajor $27 77%
Humanamajor $12 34%
Molina $12 34%
SelectHealth $12 34%
+ 1 smaller / regional plan $13

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Facility Profile & Credentials

  • Address: 25 Hospital Center Blvd, Hilton Head Island, SC 29926
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals