CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Kootenai Health

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $32–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $35 Fair price $33 This hospital $34 Cash price $115 Hospital's list price $153

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 $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 $33 (about 0.9× the $35 Medicare rate). Kootenai Health charges insurers about $34, or about $115 in cash — about the fair price. Located in Coeur D'Alene, 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 - $138 94%
Blue Cross Blue Shieldmajor $33 - $138 94%
Aetnamajor $35 - $127 100%
Cignamajor $125 - $127 356%
Humanamajor $33 94%
Kaiser Permanentemajor $47 - $120 134%
Molina $23 - $57 66%
PacificSource $34 - $125 97%
+ 5 smaller / regional plans $23 - $132

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals