CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Essentia Health Ada

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$76
about 2.2× the $35 Medicare rate · typically $36–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $40 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $76 This hospital $36 Cash price $74 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $36

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $76 (about 2.2× the $35 Medicare rate). Essentia Health Ada charges insurers about $36, or about $74 in cash — below the fair price — a good deal. Located in Ada, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $48 - $90 137%
Blue Cross Blue Shieldmajor $48 - $87 137%
Aetnamajor $85 242%
Cignamajor $66 188%
HealthPartners $39 - $66 111%
Medica $40 - $90 114%
Sanford Health Plan $43 - $45 123%
Security Health Plan $48 137%
UCare $48 - $66 137%
+ 12 smaller / regional plans $35 - $87
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 201 9Th Street West, Ada, MN 56510
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals