CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: West Valley Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $35 Medicare rate · typically $33–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $5 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $38 This hospital $33 Cash price $278 Hospital's list price $278

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 1 of 8 other ID hospitals charge more for the same procedure.

Cheapest $31 Priciest $34

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $38 (about 1.1× the $35 Medicare rate). West Valley Medical Center charges insurers about $33, or about $278 in cash — below the fair price — a good deal. Located in Caldwell, ID.

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 $30 - $166 86%
Blue Cross Blue Shieldmajor $28 - $3,495 80%
Aetnamajor $220 627%
Cignamajor $156 445%
Humanamajor $29 - $233 83%
HealthPartners $29 - $181 83%
Moda Health $173 493%
Molina $28 - $33 80%
PacificSource $166 473%
SelectHealth $89 254%
+ 5 smaller / regional plans $29 - $250
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1717 Arlington Street, Caldwell, ID 83605
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals