CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St Marys Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.8× the $35 Medicare rate · typically $25–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $35 Fair price $29 This hospital $32 Cash price $93 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

A typical price — 2 charge more and 5 charge less, among the 9 WV hospitals compared.

Cheapest $21 Priciest $33

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $29 (about 0.8× the $35 Medicare rate). St Marys Medical Center charges insurers about $32, or about $93 in cash — about the fair price. Located in Huntington, WV.

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 $32 - $91 91%
Blue Cross Blue Shieldmajor $32 - $39 91%
Aetnamajor $32 - $86 91%
Cignamajor $81 - $87 231%
Humanamajor $32 - $36 91%
CareSource $32 - $91 91%
UniCare $24 - $27 68%
+ 4 smaller / regional plans $24 - $91
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2900 1St Avenue, Huntington, WV 25702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals