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Therapy Procedure Using Functional Activities Cost in California
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 190 California hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $137
📉 Low $11.14
📈 High $821
🏥 190 hospitals
🏛️ 139 with insurance contracts
🇺🇸 Medicare $39.12
Hospital comparison — California
Sorted by cash price (lowest first). Showing top 60 of 190 hospitals.
Billed more than $137 for this? That gap is evidence.
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| Hospital | Cash | Health Net | BCBS | Aetna | Kaiser | UHC | MultiPlan | Cigna | Molina |
|---|---|---|---|---|---|---|---|---|---|
| ANAHEIM COMMUNITY HOSPITAL ANAHEIM |
$11.14 | — | — | — | — | — | — | — | — |
| COLORADO RIVER MEDICAL CENTER NEEDLES |
$17.50 | — | — | — | — | — | — | — | — |
| EISENHOWER MEDICAL CENTER RANCHO MIRAGE |
$18.14 | — | — | — | — | — | — | — | — |
| TOTALLY KIDS REHABILITATION CENTER LOMA LINDA |
$25.00 | — | — | — | — | — | — | — | — |
| SCRIPPS MERCY HOSPITAL SAN DIEGO |
$25.20 | — | — | — | — | — | — | — | — |
| SCRIPPS GREEN HOSPITAL LA JOLLA |
$25.20 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA LA JOLLA |
$25.20 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL ENCINITAS ENCINITAS |
$25.20 | — | — | — | — | — | — | — | — |
| SCRIPPS MERCY HOSPITAL CHULA VISTA CHULA VISTA |
$25.20 | — | — | — | — | — | — | — | — |
| SHASTA REGIONAL MEDICAL CENTER REDDING |
$32.00 | $32.42 | $32.42 | $41.43 | — | — | — | — | — |
| CHINO VALLEY MEDICAL CENTER CHINO |
$37.00 | $17.10 | $15.98 | $47.55 | — | — | — | — | $15.98 |
| DESERT VALLEY HOSPITAL VICTORVILLE |
$37.00 | $17.10 | $15.98 | $37.21 | — | $37.21 | — | — | $15.98 |
| MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR |
$37.00 | $17.10 | $15.98 | — | — | — | — | — | $15.98 |
| WEST ANAHEIM MEDICAL CENTER ANAHEIM |
$39.00 | $17.10 | $39.23 | $50.13 | — | — | — | — | $39.23 |
| CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD |
$39.00 | $15.98 | $15.98 | $50.13 | — | — | $51.68 | — | $15.98 |
| SHERMAN OAKS HOSPITAL SHERMAN OAKS |
$39.00 | $15.98 | $15.98 | $50.13 | — | — | $45.66 | — | $15.98 |
| ENCINO HOSPITAL MEDICAL CENTER ENCINO |
$39.00 | $15.98 | $15.98 | $50.13 | — | — | $50.13 | — | $15.98 |
| PARADISE VALLEY HOSPITAL NATIONAL CITY |
$39.00 | $17.10 | $39.29 | $15.98 | — | $15.98 | — | — | $15.98 |
| GARDEN GROVE HOSPITAL AND MEDICAL CENTER GARDEN GROVE |
$39.00 | $17.10 | $39.23 | $50.13 | — | — | — | — | $15.98 |
| HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH |
$39.00 | $17.10 | $39.23 | — | — | — | — | — | $15.98 |
| ST. FRANCIS MEDICAL CENTER LYNWOOD |
$39.00 | $15.98 | $16.78 | $58.85 | $15.98 | $39.23 | $50.13 | — | $15.98 |
| LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA |
$39.00 | $17.10 | $15.98 | $50.13 | — | — | — | — | $15.98 |
| SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS |
$39.00 | $17.10 | $15.98 | $50.13 | — | $39.23 | — | — | $15.98 |
| UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER ORANGE |
$42.80 | $40.08 | $41.25 | $39.29 | $45.18 | — | — | — | — |
| UCI HEALTH - PLACENTIA LINDA PLACENTIA |
$42.80 | $40.08 | $41.25 | $39.29 | $45.18 | — | — | — | — |
| UCI HEALTH - FOUNTAIN VALLEY FOUNTAIN VALLEY |
$42.80 | $40.08 | $41.25 | $39.29 | $45.18 | — | — | — | — |
| UCI HEALTH - LOS ALAMITOS LOS ALAMITOS |
$42.80 | $40.08 | $41.25 | $39.29 | $45.18 | — | — | — | — |
| BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR LAKE |
$45.90 | $45.90 | $44.26 | — | — | $55.73 | — | — | — |
| SAN GORGONIO MEMORIAL HOSPITAL BANNING |
$46.28 | $37.21 | $15.30 | $53.40 | $37.21 | $37.21 | — | $149 | — |
| PIH HEALTH WHITTIER HOSPITAL WASHINGTON BLVD WHITTIER |
$51.59 | — | $199 | $310 | — | $264 | — | — | — |
| PIH HEALTH DOWNEY HOSPITAL BROOKSHIRE AVE DOWNEY |
$53.61 | $19.18 | $20.98 | — | $42.33 | $177 | — | — | — |
| USC ARCADIA HOSPITAL W HUNTINGTON DRIVE ARCADIA |
$60.90 | $53.13 | $18.55 | $72.38 | $100 | $100 | $63.00 | $54.40 | $100 |
| PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER TARZANA |
$62.30 | $72.69 | $32.77 | $39.29 | — | — | — | — | — |
| OROVILLE HOSPITAL OROVILLE |
$64.00 | $102 | $124 | $39.00 | — | $39.00 | $102 | $102 | — |
| ENLOE MEDICAL CENTER ESPLANADE CHICO |
$66.60 | — | — | — | — | — | — | — | — |
| BALLARD REHABILITATION HOSPITAL SAN BERNARDINO |
$70.15 | $70.15 | $65.00 | — | $70.15 | $70.15 | — | — | — |
| PROVIDENCE ST. JOSEPH HOSPITAL - ORANGE ORANGE |
$72.48 | $72.69 | — | $39.29 | — | — | — | — | — |
| STANFORD HEALTH CARE TRI-VALLEY LIVERMORE LIVERMORE |
$76.00 | — | $127 | — | — | — | — | — | — |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE TORRANCE |
$76.30 | $72.69 | $53.47 | $39.29 | — | — | — | — | — |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO SAN PEDRO |
$76.30 | $72.69 | $32.77 | $39.29 | — | — | — | — | — |
| PROVIDENCE ST. JOHN'S HEALTH CENTER SANTA MONICA |
$78.75 | $72.69 | $63.37 | $39.29 | — | — | — | — | — |
| TRI-CITY MEDICAL CENTER OCEANSIDE |
$79.80 | $59.50 | $61.85 | $41.02 | $41.02 | $41.02 | $41.02 | $74.00 | $41.02 |
| PROVIDENCE SAINT JOSEPH MEDICAL CENTER BURBANK |
$80.85 | $72.69 | $63.37 | $39.29 | — | — | — | — | — |
| UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND OAKLAND |
$81.90 | — | — | — | — | $37.14 | — | — | — |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER NAPA |
$86.19 | — | — | $37.14 | — | — | — | — | — |
| PROVIDENCE MISSION HOSPITAL LAGUNA BEACH LAGUNA BEACH |
$86.88 | $72.69 | — | $39.29 | — | — | — | — | — |
| EL CAMINO HOSPITAL LOS GATOS LOS GATOS |
$87.00 | — | — | — | — | — | — | — | — |
| UCSF BENIOFF CHILDREN'S HOSPITAL SAN FRANCISCO SAN FRANCISCO |
$89.10 | — | $46.42 | — | — | $44.57 | — | — | — |
| UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL - MOUNT ZION 7TH FLOOR |
$89.10 | — | $46.42 | — | — | $44.57 | — | — | — |
| PROVIDENCE HOLY CROSS MEDICAL CENTER MISSION HILLS |
$89.95 | $72.69 | $32.77 | $39.29 | — | — | — | — | — |
| MARSHALL MEDICAL CENTER PLACERVILLE |
$96.27 | — | — | — | — | — | — | — | — |
| EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS ST AVENUE POROLA |
$96.80 | — | — | — | — | — | — | — | — |
| FRESNO SURGICAL HOSPITAL FRESNO |
$98.00 | — | — | $24.93 | — | — | — | — | — |
| SAINT AGNES MEDICAL CENTER FRESNO |
$98.15 | — | — | — | — | — | — | — | — |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA |
$98.94 | $36.40 | — | $37.14 | — | — | — | — | — |
| HI-DESERT MEDICAL CENTER JOSHUA TREE |
$99.00 | — | — | — | — | — | — | — | — |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL FORTUNA |
$103 | — | — | — | — | — | — | — | — |
| COTTAGE REHABILITATION HOSPITAL SANTA BARBARA |
$106 | $43.27 | $40.20 | — | — | $37.52 | — | — | — |
| SANTA BARBARA COTTAGE HOSPITAL SANTA BARBARA |
$106 | $43.27 | $40.20 | — | — | $37.52 | — | — | — |
| GOLETA VALLEY COTTAGE HOSPITAL SANTA BARBARA |
$106 | $43.27 | $40.20 | — | — | $37.52 | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $137 for this?
That is the median of what the 190 California hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in California, Medicare reimburses about $39.12 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in California range from $11.14 to $821 — that means hospital cash prices are typically 3.5x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in California?
- Cash prices for therapy procedure using functional activities (CPT 97530) in California range from $11.14 to $821, with a median of $137. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in California?
- The cheapest California hospital published cash price for this procedure is $11.14. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Therapy procedure using functional activities in nearby states
Other procedures in California
Methodology. Cash prices and insurance-negotiated rates published by each California facility under federal price transparency rules (45 CFR § 180). CPT code 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.