CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St Josephs Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.0× the $35 Medicare rate · typically $33–$78
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $36 This hospital $34 Cash price $135 Hospital's list price $188

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 $34

Black dot = this hospital, among the 9 IL 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 $36 (about 1.0× the $35 Medicare rate). St Josephs Hospital charges insurers about $34, or about $135 in cash — about the fair price. Located in Breese, IL.

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 $34 - $188 97%
Blue Cross Blue Shieldmajor $34 97%
Aetnamajor $34 - $131 97%
Cignamajor $188 536%
Humanamajor $34 97%
HealthLink $156 445%
Meridian $34 97%
Molina $31 - $34 88%
+ 16 smaller / regional plans $34 - $188
Excludes 4 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: 9515 Holy Cross Ln, Breese, IL 62230
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals