CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 2.7× the $35 Medicare rate · typically $34–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Above the fair price
about $35 over the fair price · 3.7× Medicare
Medicare pays $35 Fair price $95 This hospital $130 Cash price $98 Hospital's list price $130

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 $130

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 $95 (about 2.7× the $35 Medicare rate). Clearwater Valley Hospital & Clinics charges insurers about $130, or about $98 in cash — above the fair price. Located in Orofino, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $95. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $70 - $130 200%
Aetnamajor $70 - $121 200%
Cignamajor $117 334%
Humanamajor $70 - $126 200%
GEHA $127 362%
+ 5 smaller / regional plans $70 - $127
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals