CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.8× the $35 Medicare rate · typically $34–$184
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $62 Cash price $76 Hospital's list price $126
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $278 - $301 | 793% |
| Blue Cross Blue Shieldmajor | $35 - $40 | 100% |
| Oscar Health | $47 | 134% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Genesis Hlth System DBA Genesis Mdl Ctr-Illini
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.