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
C OT-LYMPHEDEMA FUNCTIONAL ACTIVITIES 15M
Puyallup, WA
See all hospitals reporting CPT 97530 →Price type
Good Samaritan Hospital’s median price of $46 is 38% below the median hospital's median price ($74), higher than 27% 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: 11 payers, 24 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 | Molina apple health fee schedule · outpatient | $21.45 | $21.45 | $21.45 – $21.45 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $23.17 | $23.17 | $23.17 – $23.17 |
| 3 | UnitedHealthcare all commercial plans fee schedule · outpatient | $30.09 | $30.09 | $30.09 – $30.09 |
| 4 | Aetna medadvantage fee schedule · outpatient | $36.58 | $36.58 | $36.58 – $36.58 |
| 5 | Regence medadvantage fee schedule · outpatient | $36.58 | $36.58 | $36.58 – $36.58 |
| 6 | UnitedHealthcare medadvantage fee schedule · outpatient | $36.94 | $36.94 | $36.94 – $36.94 |
| 7 | Molina medadvantage fee schedule · outpatient | $37.29 | $37.29 | $37.29 – $37.29 |
| 8 | WellCare medadvantage fee schedule · outpatient | $37.29 | $37.29 | $37.29 – $37.29 |
| 9 | Regence blue high performance fee schedule · outpatient | $40.05 | $40.05 | $40.05 – $40.05 |
| 10 | Regence mcc/ahn fee schedule · outpatient | $40.05 | $40.05 | $40.05 – $40.05 |
| 11 | Regence realvalue fee schedule · outpatient | $41.20 | $41.20 | $41.20 – $41.20 |
| 12 | Regence commercial fee schedule · outpatient | $45.78 | $45.78 | $45.78 – $45.78 |
| 13 | Cigna all commercial plans fee schedule · outpatient | $55.43 | $55.43 | $55.43 – $55.43 |
| 14 | Premera hmo fee schedule · outpatient | $61.10 | $61.10 | $61.10 – $61.10 |
| 15 | Premera prime fee schedule · outpatient | $66.44 | $66.44 | $66.44 – $66.44 |
| 16 | Premera signature fee schedule · outpatient | $66.44 | $66.44 | $66.44 – $66.44 |
| 17 | Ambetter coordinated care exchange fee schedule · outpatient | $71.03 | $71.03 | $71.03 – $71.03 |
| 18 | Aetna all commercial plans percent of total billed charges · outpatientfrom % of charges | $78.75 | $78.75 | $78.75 – $78.75 |
| 19 | Premera other commercial plans fee schedule · outpatient | $81.20 | $81.20 | $81.20 – $81.20 |
| 20 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $113.88 | $113.88 | $113.88 – $113.88 |
| 21 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $113.88 | $113.88 | $113.88 – $113.88 |
| 22 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $113.88 | $113.88 | $113.88 – $113.88 |
| 23 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $113.88 | $113.88 | $113.88 – $113.88 |
| 24 | Kaiser ppo fee schedule · outpatient | $174.18 | $174.18 | $174.18 – $174.18 |
Last updated: Aug 27, 2026
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