CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Story County Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.7× the $35 Medicare rate · typically $37–$111
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $58 Cash price $70 Hospital's list price $88
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 | $54 - $94 | 154% |
| Blue Cross Blue Shieldmajor | $54 - $94 | 154% |
| Aetnamajor | $54 - $94 | 154% |
| Humanamajor | $54 - $94 | 154% |
| HealthPartners | $54 - $94 | 154% |
| Molina | $65 - $94 | 185% |
| + 1 smaller / regional plan | $65 - $94 |
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Other Procedures at Story County Hospital
Compare: Occupational therapy (therapeutic activities) at other IA hospitals
- Mary Greeley Medical Center · Ames $26
- Mercyone Des Moines Medical Center · Des Moines $28
- Ottumwa Regional Health Center · Ottumwa $31
- Grinnell Regional Medical Center · Grinnell $34
- Guthrie County Hospital · Guthrie Center $34
- Boone County Hospital · Boone $35
- Unitypoint Health - Marshalltown · Marshalltown $36
- Trinity Muscatine · Muscatine $36
Insurance negotiated median for the same procedure, sorted lowest first.