CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Nmc Health

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.5× the $35 Medicare rate · typically $37–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Above the fair price
about $10 over the fair price · 1.8× Medicare
Medicare pays $35 Fair price $52 This hospital $62 Cash price $45 Hospital's list price $64

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $62

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 $52 (about 1.5× the $35 Medicare rate). Nmc Health charges insurers about $62, or about $45 in cash — above the fair price. Located in Newton, KS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $52. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $41 - $68 117%
Blue Cross Blue Shieldmajor $57 163%
Aetnamajor $49 - $67 140%
Cignamajor $44 - $72 125%
+ 6 smaller / regional plans $25 - $53
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 600 Medical Center Drive, Newton, KS 67114
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals