CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sanford Luverne Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 2.7× the $35 Medicare rate · typically $49–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
Above the fair price
about $25 over the fair price · 3.5× Medicare
Medicare pays $35 Fair price $96 This hospital $121 Cash price $125 Hospital's list price $156

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 $121

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 $96 (about 2.7× the $35 Medicare rate). Sanford Luverne Medical Center charges insurers about $121, or about $125 in cash — above the fair price. Located in Luverne, MN.

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 $96. 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.

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 $59 - $130 168%
Blue Cross Blue Shieldmajor $59 - $128 168%
Aetnamajor $59 - $136 168%
Cignamajor $140 399%
Health Net $140 399%
HealthPartners $59 - $125 168%
Medica $137 - $148 391%
Sanford Health Plan $55 - $98 157%
Security Health Plan $86 245%
UCare $59 - $137 168%
+ 2 smaller / regional plans $61 - $140
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1600 N Kniss Avenue P O Box 1019, Luverne, MN 56156
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals