CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Health Lakeshore Campus

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.3× the $35 Medicare rate · typically $31–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $6 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $46 This hospital $52 Cash price $81 Hospital's list price $124

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 $52

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 $46 (about 1.3× the $35 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $52, or about $81 in cash — about the fair price. Located in Shelby, MI.

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 $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
Government programs also on file: Medicare, Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals