CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Hermann Area District Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $32–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $4 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $48 This hospital $52 Cash price $63 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $30 Priciest $52

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

A fair price for a Occupational therapy (therapeutic activities) is about $48 (about 1.4× the $35 Medicare rate). Hermann Area District Hospital charges insurers about $52, or about $63 in cash — about the fair price. Located in Hermann, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $34 - $106 97%
Blue Cross Blue Shieldmajor $34 - $106 97%
Aetnamajor $47 - $100 134%
Cignamajor $62 177%
Humanamajor $46 131%
Ambetter (Centene) $33 - $100 94%
HealthLink $68 194%
WellCare $47 134%
+ 7 smaller / regional plans $32 - $94
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 509 W 18Th St, Hermann, MO 65041
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals