CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Riverside Shore Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.1× the $35 Medicare rate · typically $34–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $6 over the fair price · 1.3× Medicare
Medicare pays $35 Fair price $40 This hospital $46

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 $46

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 $40 (about 1.1× the $35 Medicare rate). Riverside Shore Memorial Hospital charges insurers about $46 — about the fair price. Located in Onancock, VA.

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 $46 131%
Blue Cross Blue Shieldmajor $34 - $46 97%
Aetnamajor $46 - $84 131%
Humanamajor $46 131%
Sentara $47 - $57 134%

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Facility Profile & Credentials

  • Address: 20480 Market Street, Onancock, VA 23417
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals