CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Madison Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $28–$85
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $33 This hospital $30 Cash price $117 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Lowest price of the 9 MN hospitals we have prices for — a strong deal.

Cheapest $30 Priciest $35

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $33 (about 0.9× the $35 Medicare rate). Madison Hospital charges insurers about $30, or about $117 in cash — about the fair price. Located in Madison, 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✓ Humana CignaKaiser 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 $27 - $2,713 77%
Blue Cross Blue Shieldmajor $27 - $2,713 77%
Aetnamajor $45 - $127 128%
Humanamajor $38 - $131 108%
HealthPartners $27 - $131 77%
Medica $28 - $117 80%
Sanford Health Plan $127 362%
+ 1 smaller / regional plan $29 - $78
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals