Occupational therapy (therapeutic activities)
Facility: Bertrand Chaffee Hospital
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $34
- Cash Discount Price: $53
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Fidelis Essential Plans | $5 | 14% |
| Univera Hc Myhealth+ | $31 | 88% |
| Univera Plus Med | $31 | 88% |
| Univera Essential Plans | $31 | 88% |
| Univera Hc Child Health+ | $31 | 88% |
| Tricare | $34 | 97% |
| Optimum Healthcare - McR | $34 | 97% |
| Geisinger Health Plan | $34 | 97% |
| Todays Option - Amer Prog | $34 | 97% |
| Wellcare | $34 | 97% |
| Advantra-McR Advantage | $34 | 97% |
| UnitedHealthcare | $34 | 97% |
| Humana | $34 | 97% |
| Aetna | $34 - $82 | 97% |
| Champva | $34 | 97% |
| Medicare (plans) | $34 | 97% |
| United Hc McR Solutions | $34 | 97% |
| Lifetime Benefits | $34 | 97% |
| Centers Plan Hlty Living | $34 | 97% |
| Cigna | $34 - $82 | 97% |
| Ctrs Plan for Hlthy Livng | $34 | 97% |
| Mutual of Omaha | $34 | 97% |
| Blue Cross Blue Shield | $35 - $49 | 100% |
| Senior Blue - Bc | $35 | 100% |
| Private Pay | $37 - $70 | 106% |
| Univera Senior Choice | $37 | 106% |
| Univera Healthcare | $41 | 117% |
| Global Excel Mgt | $43 - $82 | 123% |
| Mvp Commercial | $43 - $82 | 123% |
| American Progressive Ins. | $43 - $82 | 123% |
| Guardian Life Ins. Co. | $43 - $82 | 123% |
| Commercial / Misc | $43 - $82 | 123% |
| No-Fault | $43 - $82 | 123% |
| No Amer Meritian Health | $43 - $82 | 123% |