CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Boone Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 0.9× the $35 Medicare rate · typically $21–$67
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $10 under the fair price · 0.6× Medicare
Medicare pays $35 Fair price $31 This hospital $21 Cash price $38 Hospital's list price $76

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Lowest price of the 9 WV hospitals we have prices for — a strong deal.

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 $31 (about 0.9× the $35 Medicare rate). Boone Memorial Hospital charges insurers about $21, or about $38 in cash — below the fair price — a good deal. Located in Madison, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $21 - $27 60%
Aetnamajor $21 - $90 60%
Cignamajor $55 - $71 157%
Humanamajor $20 - $26 57%
Government programs also on file: Medicare, Medicaid.

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: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals