CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Melissa Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 2.0× the $35 Medicare rate · typically $31–$141
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
About the fair price
about $7 over the fair price · 2.2× Medicare
Medicare pays $35 Fair price $69 This hospital $76 Cash price $101 Hospital's list price $126

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $33 Priciest $76

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

A fair price for a Occupational therapy (therapeutic activities) is about $69 (about 2.0× the $35 Medicare rate). Melissa Memorial Hospital charges insurers about $76, or about $101 in cash — about the fair price. Located in Holyoke, CO.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $77 - $111 220%
Aetnamajor $122 348%
Cignamajor $121 345%
Humanamajor $77 - $120 220%
Medica $113 322%
+ 2 smaller / regional plans $76 - $120
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 E Johnson St, Holyoke, CO 80734
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals