CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Clarke County Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.4× the $35 Medicare rate · typically $34–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $11 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $49 This hospital $38 Cash price $99 Hospital's list price $132

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 $38

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 $49 (about 1.4× the $35 Medicare rate). Clarke County Hospital charges insurers about $38, or about $99 in cash — below the fair price — a good deal. Located in Osceola, IA.

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 $29 - $43 83%
Blue Cross Blue Shieldmajor $21 - $53 60%
Aetnamajor $29 - $43 83%
Cignamajor $43 123%
Humanamajor $29 - $38 83%
HealthPartners $29 - $43 83%
Molina $21 - $26 60%
+ 1 smaller / regional plan $21 - $26
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: 800 S Fillmore St, Osceola, IA 50213
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals