CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sentara Halifax Regional Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.2× the $35 Medicare rate · typically $35–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $7 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $43 This hospital $36 Cash price $67 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $32 Priciest $36

Black dot = this hospital, among the 9 VA 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). Sentara Halifax Regional Hospital charges insurers about $36, or about $67 in cash — below the fair price — a good deal. Located in South Boston, VA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $36 103%
Blue Cross Blue Shieldmajor $36 103%
Humanamajor $36 103%
Sentara $35 100%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2204 Wilborn Avenue, South Boston, VA 24592
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals