Therapeutic physical activities session at Avita Ontario Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC THERAPEUTIC ACTIVITIES DIRECT- EACH 15 MINUTES BY OT

Ontario, OH

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Pricing by billing methodology

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How this price compares nationally

Avita Ontario Hospital’s median price of $144 is 95% above the median hospital's median price ($74), higher than 85% of the 2,559 hospitals reporting CPT 97530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97530 at Avita Ontario Hospital

Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medical Mutual commercial percent of total billed charges · bothfrom % of charges	$22.20	$22.20	$14.64 – $29.75
2	Aetna medicare_outpatient percent of total billed charges · bothfrom % of charges	$53.73	$53.73	$50.75 – $56.70
3	Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges	$53.73	$53.73	$50.75 – $56.70
4	Humana medicare_outpatient percent of total billed charges · bothfrom % of charges	$53.73	$53.73	$50.75 – $56.70
5	Molina medicare_outpatient percent of total billed charges · bothfrom % of charges	$53.73	$53.73	$50.75 – $56.70
6	UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges	$53.73	$53.73	$50.75 – $56.70
7	Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges	$54.80	$54.80	$51.77 – $57.83
8	Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges	$70.14	$70.14	$70.14 – $70.14
9	Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges	$82.89	$82.89	$82.89 – $82.89
10	Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges	$83.56	$83.56	$83.56 – $83.56
11	Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges	$90.83	$90.83	$90.83 – $90.83
12	Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges	$97.94	$97.94	$78.85 – $117.03
13	Cigna commercial percent of total billed charges · bothfrom % of charges	$106.72	$106.72	$106.72 – $106.72
14	Aetna all_commercial percent of total billed charges · bothfrom % of charges	$116.45	$116.45	$116.45 – $116.45
15	UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges	$116.45	$116.45	$116.45 – $116.45
16	Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges	$143.58	$143.58	$143.58 – $143.58
17	Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges	$143.58	$143.58	$143.58 – $143.58
18	UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges	$143.58	$143.58	$143.58 – $143.58
19	Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges	$147.88	$147.88	$147.88 – $147.88
20	Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges	$155.28	$155.28	$155.28 – $155.28
21	Anthem medicare_inpatient per diem · both	$3,518	$3,518	$3,518 – $3,518
22	Humana medicare_inpatient per diem · both	$3,518	$3,518	$3,518 – $3,518
23	Molina medicare_inpatient per diem · both	$3,518	$3,518	$3,518 – $3,518
24	UnitedHealthcare medicare_inpatient per diem · both	$3,518	$3,518	$3,518 – $3,518
25	Aetna medicare_inpatient per diem · both	$3,588	$3,588	$3,588 – $3,588

Page 1 of 2 · 27 rates

Last updated: Mar 23, 2026

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