CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Ortonville Area Health Services
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$92
about 2.6× the $35 Medicare rate · typically $38–$144
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $92 Cash price $103 Hospital's list price $121
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $58 - $106 | 165% |
| Blue Cross Blue Shieldmajor | $44 - $193 | 125% |
| HealthPartners | $60 - $108 | 171% |
| Medica | $58 - $117 | 165% |
| Sanford Health Plan | $111 | 317% |
| UCare | $58 | 165% |
| + 2 smaller / regional plans | $58 - $117 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ortonville Area Health Services
Compare: Occupational therapy (therapeutic activities) at other MN hospitals
- Madison Hospital · Madison $30
- Gillette Childrens Specialty Hospital · Saint Paul $31
- Range Regional Health Services · Hibbing $34
- Fairview Bethesda Hospital · Saint Paul $34
- Essentia Health St Mary's Medical Center · Duluth $35
- Essentia Health St Joseph's Medical Center · Brainerd $35
- Essentia Health Virginia · Virginia $35
- Essentia Health St Marys - Detroit Lakes · Detroit Lakes $35
Insurance negotiated median for the same procedure, sorted lowest first.