CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Providence Mission Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.2× the $35 Medicare rate · typically $36–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
About the fair price
about $4 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $43 This hospital $39 Cash price $89 Hospital's list price $185

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $13 Priciest $39

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $43 (about 1.2× the $35 Medicare rate). Providence Mission Hospital charges insurers about $39, or about $89 in cash — about the fair price. Located in Mission Viejo, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

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
Aetnamajor $39 111%
Health Net $73 208%
+ 1 smaller / regional plan $33

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Facility Profile & Credentials

  • Address: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals