CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Elmhurst Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.4× the $35 Medicare rate · typically $37–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $4 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $50 This hospital $54 Cash price $302 Hospital's list price $302

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 $54

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 $50 (about 1.4× the $35 Medicare rate). Elmhurst Memorial Hospital charges insurers about $54, or about $302 in cash — about the fair price. Located in Elmhurst, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $54 - $70 154%
Aetnamajor $34 97%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 155 East Brush Hill Road, Elmhurst, IL 60126
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals