Occupational therapy (therapeutic activities)
Facility: Deaconess Hospital Inc
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $49
- Cash Discount Price: $67
- vs. Medicare Baseline: 1.40x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $22 - $115 | 63% |
| Humana | $22 - $51 | 63% |
| Medicaid / KanCare | $22 - $51 | 63% |
| UnitedHealthcare | $22 - $251 | 63% |
| Blue Cross Blue Shield | $24 - $34 | 68% |
| Meridiancomplete (Il) | $24 | 68% |
| Meridianhealth (Il) | $24 | 68% |
| Youthcare (Meridian Il) | $24 | 68% |
| Youthcare (Wellcare Il) | $24 | 68% |
| Ky Racing Health & Welfare Fund | $27 - $67 | 77% |
| Mhnet | $27 | 77% |
| Self-Pay | $27 - $67 | 77% |
| United Behavioral Health | $32 | 91% |
| Medicare (plans) | $33 | 94% |
| Meridiancare (Il) | $33 | 94% |
| Molina (Il) Mmai | $33 | 94% |
| Molina Il | $33 | 94% |
| Mytru Advantage | $33 | 94% |
| Triwest Vapc3 | $33 | 94% |
| Wellcare (Il) Mmai | $33 | 94% |
| Caresource In | $34 | 97% |
| Alliance Coal | $35 - $67 | 100% |
| Ambetter / Centene | $41 - $122 | 117% |
| Caresource In Marketplace | $43 | 123% |
| Center Care Narrow Select | $43 - $120 | 123% |
| Center Care Open Access | $43 - $131 | 123% |
| Patoka Valley Health Care (80/20 Plan) | $43 - $102 | 123% |
| Patoka Valley Health Care (90/10 Plan) | $43 - $102 | 123% |
| Encircle/Encore Combined | $45 - $105 | 128% |
| Encircle/Encore Elite+ | $45 - $102 | 128% |
| Encircle/Encore Prime | $45 - $96 | 128% |
| Allied National | $46 - $122 | 131% |
| Claimdoc | $46 - $122 | 131% |
| Healthscope | $46 - $122 | 131% |
| Chamber Care | $47 - $122 | 134% |
| Cigna | $49 - $143 | 140% |
| Claritev (Formerly Phcs Multiplan) | $49 - $124 | 140% |
| Deaconess Onecare | $49 - $101 | 140% |
| First Health | $49 - $151 | 140% |
| Hopetrust | $49 - $122 | 140% |
| Hstechnology | $49 - $122 | 140% |
| Iu Health Network | $49 - $105 | 140% |
| Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) | $49 - $131 | 140% |
| Noncontracted | $53 | 151% |
| Parkview Signature Care | $53 - $139 | 151% |
| Naphcare | $54 | 154% |
| Healthlink | $58 - $173 | 165% |
| National Rural Electric | $69 - $180 | 197% |
| Immergrun | $85 | 242% |