CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Henry Ford Health St John Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $29–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
1.0× Medicare
Medicare pays $35 Fair price $35 This hospital $35 Cash price $52 Hospital's list price $92

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 $35

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 $35 (about 1.0× the $35 Medicare rate). Henry Ford Health St John Hospital charges insurers about $35, or about $52 in cash — about the fair price. Located in Detroit, MI.

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $33 94%
Humanamajor $33 94%
Ambetter (Centene) $41 117%
AmeriHealth $33 94%
Molina $35 - $41 100%
WellCare $35 100%
+ 6 smaller / regional plans $33 - $62
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 22101 Moross Rd, Detroit, MI 48236
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals