CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Specialty Hospital Southeast Kansas

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–$36
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 $91 Hospital's list price $140

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 Specialty Hospital Southeast Kansas charges insurers about $32, or about $91 in cash — about the fair price. Located in Galena, 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 - $130 86%
Blue Cross Blue Shieldmajor $28 - $37 80%
Aetnamajor $26 - $32 74%
Cignamajor $32 - $108 91%
Humanamajor $32 - $33 91%
HealthLink $105 299%
Medica $51 145%
+ 34 smaller / regional plans $32 - $130
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals