CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Kern Valley Healthcare District

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$51
about 1.5× the $35 Medicare rate · typically $23–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $2 under the fair price · 1.4× Medicare
Medicare pays $35 Fair price $51 This hospital $49 Cash price $37 Hospital's list price $175

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 $49

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 $51 (about 1.5× the $35 Medicare rate). Kern Valley Healthcare District charges insurers about $49, or about $37 in cash — about the fair price. Located in Lake Isabella, CA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $32 91%
Blue Cross Blue Shieldmajor $85 - $157 242%
Aetnamajor $133 379%
Cignamajor $149 425%
Humanamajor $37 106%
Health Net $14 - $138 40%
+ 1 smaller / regional plan $42
Government programs also on file: Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 6412 Laurel Ave, Lake Isabella, CA 93240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals