Occupational therapy (therapeutic activities)
Facility: University of Illinois Hospital and Clinics
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $42
- Cash Discount Price: $119
- vs. Medicare Baseline: 1.20x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Molina | $28 - $42 | 80% |
| Aetna | $31 - $52 | 88% |
| Coventry | $31 - $36 | 88% |
| United | $31 - $36 | 88% |
| Blue Cross Blue Shield | $32 - $53 | 91% |
| Caterpillar | $32 | 91% |
| Humboldt Park Health Partners | $32 | 91% |
| Physicians Health Association Of Il | $32 | 91% |
| Resurrection Phys Provider Group | $32 | 91% |
| Campus Care | $35 - $53 | 100% |
| Health Alliance | $36 - $48 | 103% |
| Longevity Health Plan | $36 | 103% |
| Sinai Medical Group | $36 | 103% |
| UnitedHealthcare | $36 | 103% |
| Zing Health | $36 | 103% |
| Clear Springs Health | $37 | 106% |
| Village Md | $37 - $44 | 106% |
| Wellcare | $37 | 106% |
| St Anthony Health Network | $39 | 111% |
| Uic Physician Group | $39 | 111% |
| Franciscan Hammond Clinic Llc | $40 | 114% |
| Physician Care Network Inc | $41 | 117% |
| County Care Health Plan | $42 | 120% |
| Meridian | $42 | 120% |
| Youthcare Healthchoice | $42 | 120% |
| Union Health Service | $43 | 123% |
| Dolton Medical Associates | $44 | 125% |
| Mac Neal Health Providers | $44 | 125% |
| Mercy Physician Association | $44 | 125% |
| Unified Physicians Network | $44 | 125% |
| West Suburban Health Providers | $44 | 125% |
| Lake County Physician Associates | $46 | 131% |
| Northshore Physician Association | $46 | 131% |
| Northwest Primary Care Alliance | $46 | 131% |
| Southwest Physician Group Ltd | $46 | 131% |
| Valenz | $47 | 134% |
| Fox Valey Medicine Ltd | $48 | 137% |
| Oak West Primary Care Alliance | $48 | 137% |
| Equian | $51 | 145% |
| Multiplan | $51 - $75 | 145% |
| Zelis | $51 | 145% |
| Healthsmart | $53 | 151% |
| The Alliance | $53 | 151% |
| Healthlink | $56 - $2,385 | 160% |
| Integrated Health Plan | $56 | 160% |