CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Trinity Health Oakland Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $27–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
Well above the fair price
about $48 over the fair price · 2.3× Medicare
Medicare pays $35 Fair price $33 This hospital $81 Hospital's list price $155

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 $81

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 $33 (about 0.9× the $35 Medicare rate). Trinity Health Oakland Hospital charges insurers about $81 — well above the fair price. Located in Pontiac, 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 $33. 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 $36 - $13,176 103%
Blue Cross Blue Shieldmajor $19 - $12,537 54%
Aetnamajor $34 - $12,537 97%
Cignamajor $115 328%
Humanamajor $114 325%
Kaiser Permanentemajor $55 157%
AmeriHealth $114 325%
CareSource $81 - $488 231%
Dean Health Plan $105 299%
GEHA $97 - $116 277%
Health Net $155 442%
HealthPartners $113 322%
MagnaCare $114 325%
Medical Mutual $97 277%
Molina $45 - $16,630 128%
MVP Health Care $105 299%
Paramount $105 299%
Priority Health $63 - $418 180%
Tufts Health Plan $113 322%
UniCare $114 325%
+ 136 smaller / regional plans $35 - $29,514
Government programs also on file: Medicare, Medicaid.
Excludes 11 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

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals