CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Hiawatha Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 1.9× the $35 Medicare rate · typically $39–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $8 under the fair price · 1.6× Medicare
Medicare pays $35 Fair price $65 This hospital $57 Cash price $206 Hospital's list price $206

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 $57

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $65 (about 1.9× the $35 Medicare rate). Hiawatha Community Hospital charges insurers about $57, or about $206 in cash — below the fair price — a good deal. Located in Hiawatha, 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 $76 - $177 217%
Blue Cross Blue Shieldmajor $54 - $57 154%
Aetnamajor $76 - $166 217%
Cignamajor $196 559%
Humanamajor $77 220%
Ambetter (Centene) $91 259%
Oscar Health $154 439%
+ 4 smaller / regional plans $154 - $206
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 300 Utah Street, Hiawatha, KS 66434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals