Occupational therapy (therapeutic activities)
Facility: Mercy Hospital Northwest Arkansas
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $32 compared to the $34 fair price benchmark.
5-Star CMS clinical quality rating paired with 0.94× fair market pricing.
A typical price — 3 charge more and 3 charge less, among the 9 AR hospitals compared.
Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.
A fair price for a Occupational therapy (therapeutic activities) is about $34 (about 1.0× the $35 Medicare rate). Mercy Hospital Northwest Arkansas charges insurers about $32, or about $93 in cash — about the fair price. Located in Rogers, AR.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $32 - $157 | 91% |
| Blue Cross Blue Shieldmajor | $32 - $42 | 91% |
| Aetnamajor | $32 - $107 | 91% |
| Cignamajor | $32 - $164 | 91% |
| Humanamajor | $32 - $114 | 91% |
| Ambetter (Centene) | $45 | 128% |
| HealthLink | $86 - $93 | 245% |
| Independent Health | $32 | 91% |
| + 55 smaller / regional plans | $22 - $141 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mercy Hospital Northwest Arkansas
Compare: Occupational therapy (therapeutic activities) at other AR hospitals
- White River Medical Center · Batesville $22
- Delta Memorial Hospital · Dumas $30
- Mercy Hospital Berryville · Berryville $30
- Ouachita County Medical Center · Camden $32
- Mercy Hospital Fort Smith · Fort Smith $32
- Baptist Health Medical Center North Little Rock · North Little Rock $33
- Baptist Health - Fort Smith · Fort Smith $33
- Baptist Health Medical Center-Stuttgart · Stuttgart $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Hospital Northwest Arkansas (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $52
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $52).
Self-Pay Cash Rate ($93) Beats Your Bill
Mercy Hospital Northwest Arkansas's published 45 CFR § 180 self-pay cash rate is $93 (vs. $32 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $34 Fair BaseRate ($35 Medicare)
Your bill ($143) is $109 above the denoised Fair BaseRate ($34) and 4.1× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.