Occupational therapy (therapeutic activities)
Facility: Mercy Health Lakeshore Campus
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $52 compared to the $44 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $44 (about 1.3× the $35 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $52, or about $81 in cash — above the fair price. Located in Shelby, 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 $44. 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
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 | $43 - $112 | 123% |
| Blue Cross Blue Shieldmajor | $25 - $106 | 71% |
| Aetnamajor | $31 - $99 | 88% |
| Cignamajor | $108 | 308% |
| Humanamajor | $111 | 317% |
| Kaiser Permanentemajor | $106 | 302% |
| AmeriHealth | $111 | 317% |
| CareSource | $111 | 317% |
| Dean Health Plan | $107 | 305% |
| GEHA | $99 - $112 | 282% |
| Medical Mutual | $111 | 317% |
| Molina | $52 | 148% |
| MVP Health Care | $107 | 305% |
| Oscar Health | $38 | 108% |
| Paramount | $107 | 305% |
| Priority Health | $112 | 319% |
| UniCare | $111 | 317% |
| + 115 smaller / regional plans | $22 - $114 |
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.
Other Procedures at Mercy Health Lakeshore Campus
Compare: Occupational therapy (therapeutic activities) at other MI hospitals
- Beacon Plainwell · Plainwell $18
- 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
- Lake Huron Medical Center · Port Huron $33
- Munson Healthcare Grayling Hospital · Grayling $33
- Covenant Medical Center · Saginaw $33
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Health Lakeshore Campus (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $45
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $45).
Self-Pay Cash Rate ($81) Beats Your Bill
Mercy Health Lakeshore Campus's published 45 CFR § 180 self-pay cash rate is $81 (vs. $52 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $44 Fair BaseRate ($35 Medicare)
Your bill ($124) is $80 above the denoised Fair BaseRate ($44) and 3.5× the $35 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.