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.
Original text from hospital filings
HC - PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN
Elizabethtown, NY
See all hospitals reporting CPT 97530 →Price type
Elizabethtown Community Hospital’s median price of $73 is about the same as the median hospital's median price ($74), higher than 50% of the 2,559 hospitals reporting CPT 97530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 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 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $40.69 | $40.69 | $40.69 – $40.69 |
| 2 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $42.72 | $42.72 | $42.72 – $42.72 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $59.28 | $59.28 | $59.28 – $59.28 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $59.28 | $59.28 | $59.28 – $59.28 |
| 5 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $59.28 | $59.28 | $59.28 – $59.28 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $59.28 | $59.28 | $59.28 – $59.28 |
| 7 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $62.40 | $62.40 | $62.40 – $62.40 |
| 8 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid facility · fee schedule · outpatient | $91.55 | $91.55 | $91.55 – $91.55 |
| 9 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $92.04 | $92.04 | $92.04 – $92.04 |
| 10 | Blue Cross Blue Shield individual network facility · percent of total billed charges · outpatientfrom % of charges | $94.85 | $94.85 | $94.85 – $94.85 |
| 11 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind facility · percent of total billed charges · outpatientfrom % of charges | $96.72 | $96.72 | $96.72 – $96.72 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $117.00 | $117.00 | $117.00 – $117.00 |
| 13 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $117.25 | $117.25 | $117.25 – $117.25 |
| 14 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $127.14 | $127.14 | $127.14 – $127.14 |
| 15 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $140.40 | $140.40 | $140.40 – $140.40 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $143.68 | $143.68 | $143.68 – $143.68 |
Last updated: Apr 28, 2026
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