CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Lewisgale Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $35 Medicare rate · typically $33–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
1.0× Medicare
Medicare pays $35 Fair price $34 This hospital $34 Cash price $337 Hospital's list price $337

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

One of the lower prices — 0 of 8 other VA hospitals charge more for the same procedure.

Cheapest $32 Priciest $34

Black dot = this hospital, among the 9 VA 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 $34 (about 1.0× the $35 Medicare rate). Lewisgale Medical Center charges insurers about $34, or about $337 in cash — about the fair price. Located in Salem, VA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $31 - $152 88%
Blue Cross Blue Shieldmajor $32 - $37 91%
Aetnamajor $32 - $36 91%
Cignamajor $33 - $59 94%
Humanamajor $31 - $36 88%
Devoted Health $31 - $36 88%
Health Net $31 - $239 88%
Sentara $31 - $36 88%
+ 22 smaller / regional plans $29 - $303
Government programs also on file: Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals