CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sanford Behavioral Health Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 2.1× the $35 Medicare rate · typically $37–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
Above the fair price
about $16 over the fair price · 2.6× Medicare
Medicare pays $35 Fair price $75 This hospital $91 Cash price $122 Hospital's list price $152

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 $91

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 $75 (about 2.1× the $35 Medicare rate). Sanford Behavioral Health Center charges insurers about $91, or about $122 in cash — above the fair price. Located in Thief River Falls, 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 $75. 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 $63 - $127 180%
Blue Cross Blue Shieldmajor $60 - $121 171%
Aetnamajor $63 - $132 180%
Cignamajor $137 391%
Health Net $137 391%
HealthPartners $63 - $123 180%
Medica $134 - $144 382%
Sanford Health Plan $58 - $96 165%
Security Health Plan $84 240%
UCare $62 - $134 177%
+ 2 smaller / regional plans $64 - $137
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.

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Facility Profile & Credentials

  • Address: 120 Labree Avenue South, Thief River Falls, MN 56701
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric