CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.1× the $35 Medicare rate · typically $35–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Above the fair price
about $14 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $38 This hospital $52 Cash price $55 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $24 Priciest $52

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $38 (about 1.1× the $35 Medicare rate). Mt Sinai Hospital Medical Center charges insurers about $52, or about $55 in cash — above the fair price. Located in Chicago, IL.

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 $38. 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.

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 $36 - $171 103%
Blue Cross Blue Shieldmajor $27 - $231 77%
Aetnamajor $139 - $366 396%
Cignamajor $34 - $243 97%
Humanamajor $36 - $508 103%
Ambetter (Centene) $39 - $170 111%
Health Net $35 - $231 100%
HealthLink $40 - $105 114%
Meridian $36 103%
Molina $38 - $243 108%
Oscar Health $38 - $86 108%
+ 10 smaller / regional plans $25 - $97
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals