CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Virginia Hospital Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.4× the $35 Medicare rate · typically $35–$132
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Above the fair price
about $35 over the fair price · 2.4× Medicare
Medicare pays $35 Fair price $50 This hospital $85 Cash price $74 Hospital's list price $92

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 $85

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 $50 (about 1.4× the $35 Medicare rate). Virginia Hospital Center charges insurers about $85, or about $74 in cash — above the fair price. Located in Arlington, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $50. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $53 151%
Blue Cross Blue Shieldmajor $54 - $83 154%
Aetnamajor $32 - $122 91%
Cignamajor $50 - $260 143%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1701 North George Mason Drive, Arlington, VA 22205
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals