CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Community Hospital of Staunton

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.5× the $35 Medicare rate · typically $41–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
1.5× Medicare
Medicare pays $35 Fair price $54 This hospital $54 Cash price $102 Hospital's list price $203

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.

A fair price for a Occupational therapy (therapeutic activities) is about $54 (about 1.5× the $35 Medicare rate). Community Hospital of Staunton charges insurers about $54, or about $102 in cash — about the fair price. Located in Staunton, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $176 - $408 502%
Blue Cross Blue Shieldmajor $132 - $230 376%
Aetnamajor $143 - $230 408%
Cignamajor $113 - $148 322%
HealthLink $132 - $196 376%
+ 2 smaller / regional plans $34 - $230
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 N Caldwell St, Staunton, IL 62088
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals