CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Loyola Gottlieb Memorial Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.5× the $35 Medicare rate · typically $36–$124
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $53 Cash price $35 Hospital's list price $186
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 | $97 - $216 | 277% |
| Blue Cross Blue Shieldmajor | $86 - $129 | 245% |
| Aetnamajor | $136 - $219 | 388% |
| Cignamajor | $55 - $78 | 157% |
| Humanamajor | $133 | 379% |
| Meridian | $35 | 100% |
| Molina | $35 | 100% |
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Other Procedures at Loyola Gottlieb Memorial Hospital
Compare: Occupational therapy (therapeutic activities) at other IL hospitals
- Ferrell Hospital Community Foundations · Eldorado $24
- Carle Eureka Hospital · Eureka $28
- Carle Hoopeston Regional Health Center · Hoopeston $28
- Alton Memorial Hospital · Alton $33
- West Suburban Medical Center · Oak Park $33
- Louis A Weiss Memorial Hospital · Chicago $33
- Mc Donough District Hospital · Macomb $33
- Decatur Memorial Hospital · Decatur $33
Insurance negotiated median for the same procedure, sorted lowest first.