CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Spectrum Health United Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$55
about 1.6× the $35 Medicare rate · typically $34–$111
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $55 Cash price $87 Hospital's list price $87
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $33 | 94% |
| Aetnamajor | $35 | 100% |
| Meridian | $60 | 171% |
| Priority Health | $102 - $118 | 291% |
Self-Pay How to get the cash price
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Other Procedures at Spectrum Health United Hospital
Compare: Occupational therapy (therapeutic activities) at other MI hospitals
- Beacon Plainwell · Plainwell $18
- Henry Ford Allegiance Health · Jackson $19
- Henry Ford Health West Bloomfield Hospital · W Bloomfield $19
- Henry Ford Macomb Hospital · Clinton Township $20
- Huron Valley-Sinai Hospital · Commerce Township $23
- Harper University Hospital · Detroit $24
- Trinity Health Grand Haven Hospital · Grand Haven $25
- University of Michigan Health System · Ann Arbor $29
Insurance negotiated median for the same procedure, sorted lowest first.