CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Hospital Lincoln

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.4× the $35 Medicare rate · typically $40–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
About the fair price
about $4 under the fair price · 1.3× Medicare
Medicare pays $35 Fair price $50 This hospital $46 Cash price $89 Hospital's list price $137

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 $46

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 $50 (about 1.4× the $35 Medicare rate). Mercy Hospital Lincoln charges insurers about $46, or about $89 in cash — about the fair price. Located in Troy, 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 $30 - $90 86%
Blue Cross Blue Shieldmajor $32 - $202 91%
Aetnamajor $21 - $90 60%
Cignamajor $34 - $114 97%
Humanamajor $32 - $123 91%
Ambetter (Centene) $63 180%
HealthLink $111 - $122 317%
Medica $58 165%
+ 38 smaller / regional plans $32 - $116
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 East Cherry Street, Troy, MO 63379
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals