CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Lewisgale Hospital Pulaski

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $33–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $35 Fair price $33 This hospital $34 Cash price $261 Hospital's list price $261

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 $33 (about 0.9× the $35 Medicare rate). Lewisgale Hospital Pulaski charges insurers about $34, or about $261 in cash — about the fair price. Located in Pulaski, 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 - $125 88%
Blue Cross Blue Shieldmajor $32 - $37 91%
Aetnamajor $32 - $125 91%
Cignamajor $33 - $37 94%
Humanamajor $26 - $36 74%
Devoted Health $31 - $36 88%
Health Net $31 - $197 88%
Sentara $31 - $36 88%
+ 19 smaller / regional plans $29 - $250
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 2400 Lee Highway, Pulaski, VA 24301
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals