CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St Luke's Wood River Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 2.1× the $35 Medicare rate · typically $68–$133
modeled estimate · not a bill or quote
What this hospital charges insurers
$68
About the fair price
about $4 under the fair price · 1.9× Medicare
Medicare pays $35 Fair price $72 This hospital $68 Cash price $86 Hospital's list price $86

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 $68

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 $72 (about 2.1× the $35 Medicare rate). St Luke's Wood River Medical Center charges insurers about $68, or about $86 in cash — about the fair price. Located in Ketchum, ID.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $51 - $78 145%
Blue Cross Blue Shieldmajor $50 - $74 143%
Aetnamajor $54 - $82 154%
Cignamajor $80 228%
GEHA $78 222%
Moda Health $76 217%
PacificSource $81 231%
+ 2 smaller / regional plans $49 - $83
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 100 Hospital Drive, Ketchum, ID 83340
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals