CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$62
about 1.8× the $35 Medicare rate · typically $39–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $7 under the fair price · 1.6× Medicare
Medicare pays $35 Fair price $62 This hospital $55 Cash price $70 Hospital's list price $108

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $31 Priciest $55

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

A fair price for a Occupational therapy (therapeutic activities) is about $62 (about 1.8× the $35 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $55, or about $70 in cash — below the fair price — a good deal. Located in Boise, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $33 - $108 94%
Blue Cross Blue Shieldmajor $33 - $93 94%
Aetnamajor $34 - $99 97%
Cignamajor $300 855%
Humanamajor $95 - $108 271%
Kaiser Permanentemajor $93 265%
Dean Health Plan $97 277%
GEHA $97 - $99 277%
Health Net $79 - $97 225%
Moda Health $33 - $97 94%
Molina $79 225%
PacificSource $65 - $79 185%
Paramount $97 277%
Priority Health $300 855%
SelectHealth $59 - $97 168%
+ 42 smaller / regional plans $31 - $300
Government programs also on file: Medicare, Medicaid.
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: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals