CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Holy Family Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.2× the $35 Medicare rate · typically $34–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $5 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $41 This hospital $36 Cash price $35 Hospital's list price $246

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 $36

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 $41 (about 1.2× the $35 Medicare rate). Holy Family Medical Center charges insurers about $36, or about $35 in cash — below the fair price — a good deal. Located in Des Plaines, 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 $36 - $246 103%
Blue Cross Blue Shieldmajor $31 - $50 88%
Aetnamajor $31 - $126 88%
Cignamajor $36 103%
Humanamajor $31 - $39 88%
Ambetter (Centene) $58 165%
Devoted Health $36 103%
Health Net $43 123%
HealthPartners $36 - $41 103%
Meridian $33 - $38 94%
Molina $33 - $54 94%
WellCare $36 103%
+ 10 smaller / regional plans $31 - $106
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: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL