CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Genesis Medical Center, Aledo

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 2.5× the $35 Medicare rate · typically $60–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
About the fair price
about $4 under the fair price · 2.3× Medicare
Medicare pays $35 Fair price $86 This hospital $82 Cash price $76 Hospital's list price $126

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 $82

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 $86 (about 2.5× the $35 Medicare rate). Genesis Medical Center, Aledo charges insurers about $82, or about $76 in cash — about the fair price. Located in Aledo, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $58 - $92 165%
Blue Cross Blue Shieldmajor $59 - $2,970 168%
Aetnamajor $57 163%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 409 Nw 9Th Avenue, Aledo, IL 61231
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals