CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Anderson Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $35 Medicare rate · typically $33–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $37 This hospital $34 Cash price $83 Hospital's list price $156

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.

A fair price for a Occupational therapy (therapeutic activities) is about $37 (about 1.1× the $35 Medicare rate). Anderson Hospital charges insurers about $34, or about $83 in cash — about the fair price. Located in Maryville, 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 $33 - $203 94%
Blue Cross Blue Shieldmajor $118 - $122 336%
Aetnamajor $33 - $130 94%
Cignamajor $154 439%
Humanamajor $33 94%
Ambetter (Centene) $48 137%
HealthLink $110 314%
+ 7 smaller / regional plans $33 - $160
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals