Therapy Procedure Using Functional Activities Cost in Delaware
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Delaware hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Delaware
Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.
| Hospital | Cash | Aetna | UHC | Cigna | MultiPlan | First Health | BCBS | Centene | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| TIDALHEALTH NANTICOKE MIDDLEFORD RD. SEAFORD |
$89.90 | — | — | — | — | — | — | — | — |
| BAYHEALTH HOSPITAL KENT CAMPUS DOVER |
$112 | $34.87 | — | — | — | — | $145 | $52.30 | — |
| BAYHEALTH MEDICAL CENTER SUSSEX CAMPUS MILFORD |
$112 | $34.87 | — | — | — | — | $145 | $52.30 | — |
| PAM HEALTH REHABILITATION HOSPITAL OF DOVER DOVER |
$112 | $23.53 | $54.93 | $120 | $89.68 | $110 | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GEORGETOWN DUPONT BOULEVARD GEORGETOWN |
$112 | $23.53 | $54.93 | $120 | $89.68 | $110 | — | — | — |
| BEEBE MEDICAL CENTER LEWES |
$119 | $60.00 | $88.60 | $95.00 | $95.00 | $79.00 | — | — | $29.29 |
| ST. FRANCIS HOSPITAL WILMINGTON |
$172 | — | — | — | — | — | — | — | — |
| NEMOURS CHILDREN'S HOSPITAL, DELAWARE WILMINGTON |
$197 | — | — | — | — | — | — | — | — |
That is the median of what the 8 Delaware 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 Delaware, Medicare reimburses about $34.87 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Delaware range from $89.90 to $197 — that means hospital cash prices are typically 3.2x 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 Delaware?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Delaware range from $89.90 to $197, with a median of $112. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Delaware?
- The cheapest Delaware hospital published cash price for this procedure is $89.90. 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.