CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Hospital Pittsburg, Inc

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 0.9× the $35 Medicare rate · typically $32–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
0.9× Medicare
Medicare pays $35 Fair price $32 This hospital $32 Cash price $52 Hospital's list price $80

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

One of the lower prices — 6 of 8 other KS hospitals charge more for the same procedure.

Cheapest $26 Priciest $33

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $32 (about 0.9× the $35 Medicare rate). Mercy Hospital Pittsburg, Inc charges insurers about $32, or about $52 in cash — about the fair price. Located in Pittsburg, KS.

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 $30 - $60 86%
Blue Cross Blue Shieldmajor $28 - $69 80%
Aetnamajor $32 - $76 91%
Cignamajor $49 - $69 140%
Humanamajor $32 91%
Ambetter (Centene) $33 94%
HealthLink $57 - $71 163%
Medica $26 - $32 74%
+ 21 smaller / regional plans $32 - $71
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Mt Carmel Way, Pittsburg, KS 66762
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals