CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Methodist Jennie Edmundson

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 2.5× the $35 Medicare rate · typically $51–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $4 under the fair price · 2.4× Medicare
Medicare pays $35 Fair price $88 This hospital $84 Cash price $54 Hospital's list price $179

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 $84

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 $88 (about 2.5× the $35 Medicare rate). Methodist Jennie Edmundson charges insurers about $84, or about $54 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 - $268 91%
Blue Cross Blue Shieldmajor $32 - $341 91%
Aetnamajor $32 - $107 91%
Humanamajor $32 91%
Ambetter (Centene) $68 - $69 194%
Medica $32 - $208 91%
+ 2 smaller / regional plans $63 - $107
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 933 East Pierce Street, Council Bluffs, IA 51503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals