CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Montgomery County Memorial Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$122
about 3.5× the $35 Medicare rate · typically $38–$190
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $122 Cash price $61 Hospital's list price $87
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $45 | 128% |
| Blue Cross Blue Shieldmajor | $55 - $166 | 157% |
| Aetnamajor | $82 | 234% |
| Medica | $45 - $74 | 128% |
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Other Procedures at Montgomery County Memorial 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.