go back

Occupational Therapy in Home Health or Hospice

Pennsylvania rates for HCPCS G0152

Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes

Rates data updated October 2026.

How much does Occupational Therapy in Home Health or Hospice cost?

$23.44

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $23.44 from a physician practice, and about $110 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23.44$23.44 to $26.92
FacilityA hospital or hospital-owned outpatient department$110$23.44 to $5,012

How much rates vary

Facilitymedian $110 · 10th to 90th $23 to $8,710Professionalmedian $23 · 10th to 90th $23 to $85
$10$100$1K$10K$100Kfacility $110professional $23

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$112.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$26.92
Median
$26.92
Typical High
$70.79
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$23.44
Median
$26.30
Typical High
$120.23
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
United
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85

Where Pennsylvania sits

The same service costs 29.5 times more in Mississippi than in Arkansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 36th of 50

$23.44

MS $158AR $5.37

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.