CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$29
about 0.8× the $35 Medicare rate · typically $20–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Above the fair price
about $5 over the fair price · 1.0× Medicare
Medicare pays $35 Fair price $29 This hospital $34 Cash price $101 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $18 Priciest $34

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

A fair price for a Occupational therapy (therapeutic activities) is about $29 (about 0.8× the $35 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $34, or about $101 in cash — above the fair price. Located in Livonia, MI.

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 $29. 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.

6 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 $23 - $99 66%
Blue Cross Blue Shieldmajor $19 - $70 54%
Aetnamajor $23 - $124 66%
Cignamajor $23 - $124 66%
Humanamajor $23 - $98 66%
Kaiser Permanentemajor $48 137%
Ambetter (Centene) $23 66%
AmeriHealth $26 - $98 74%
CareSource $96 274%
Clover Health $29 - $34 83%
Dean Health Plan $40 - $99 114%
GEHA $90 - $99 257%
Health Net $23 - $155 66%
HealthPartners $23 - $95 66%
MagnaCare $26 - $98 74%
Medical Mutual $26 - $98 74%
Meridian $23 - $34 66%
Molina $23 - $47 66%
MVP Health Care $40 - $99 114%
Paramount $23 - $99 66%
Presbyterian $23 - $34 66%
Priority Health $66 - $75 188%
Tufts Health Plan $23 - $95 66%
UniCare $26 - $98 74%
WellMed $29 - $34 83%
WellSense $23 66%
+ 430 smaller / regional plans $23 - $155
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 18 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: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals