CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $35 Medicare rate · typically $32–$35
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $34 This hospital $33 Cash price $199 Hospital's list price $199

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 $34 (about 1.0× the $35 Medicare rate). Eastern Idaho Regional Medical Center charges insurers about $33, or about $199 in cash — about the fair price. Located in Idaho Falls, 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 - $115 86%
Blue Cross Blue Shieldmajor $28 - $189 80%
Aetnamajor $78 - $97 222%
Cignamajor $109 311%
Humanamajor $30 - $167 86%
Health Net $179 510%
Moda Health $124 354%
Molina $28 - $33 80%
PacificSource $83 - $107 237%
SelectHealth $60 - $63 171%
+ 10 smaller / regional plans $29 - $199
Government programs also on file: Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals