CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: CHI Health Mercy Council Bluffs

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$93
about 2.7× the $35 Medicare rate · typically $51–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $4 over the fair price · 2.8× Medicare
Medicare pays $35 Fair price $93 This hospital $97 Cash price $57 Hospital's list price $136

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $26 Priciest $97

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

A fair price for a Occupational therapy (therapeutic activities) is about $93 (about 2.7× the $35 Medicare rate). CHI Health Mercy Council Bluffs charges insurers about $97, or about $57 in cash — about the fair price. Located in Council Bluffs, IA.

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $63 - $190 180%
Ambetter (Centene) $20 - $31 57%
Amerigroup $31 88%
Medica $65 - $82 185%
Molina $32 91%
+ 7 smaller / regional plans $38 - $158
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Mercy Drive, Council Bluffs, IA 51503
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals