CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Berkeley Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $35 Medicare rate · typically $25–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
0.9× Medicare
Medicare pays $35 Fair price $30 This hospital $30 Cash price $77 Hospital's list price $154

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

A typical price — 4 charge more and 4 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 $30 (about 0.9× the $35 Medicare rate). Berkeley Medical Center charges insurers about $30, or about $77 in cash — about the fair price. Located in Martinsburg, WV.

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 $36 103%
Blue Cross Blue Shieldmajor $25 71%
Aetnamajor $26 - $34 74%
Humanamajor $34 97%
CareSource $49 140%
+ 1 smaller / regional plan $26
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2500 Hospital Drive, Martinsburg, WV 25401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals