CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Ochsner Laird Hospital

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $58
Cash Discount Price: $94
vs. Medicare Baseline: 1.65x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at Ochsner Laird Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 1.65x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$35.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $35.07 (100%)

Cash / Self-Pay: $94 (268%)

Insurance Median: $58 (165%)

Cash: $94 (268% of Medicare)

Ins. Median: $58 (165% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$27 - $97	77%
Medicaid / KanCare	$30 - $32	86%
Cigna	$32 - $97	91%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$32 - $98	91%
Medicare (plans)	$32 - $112	91%
UnitedHealthcare	$32 - $110	91%
Select Administrative Services Network	$33 - $108	94%
Shared Health Mississippi	$33 - $102	94%
Blue Cross Blue Shield	$34 - $108	97%
Prime Health Services Ppo	$36 - $123	103%
Claritev D/B/A Multiplan/Phcs/American Life Care	$37 - $116	106%
Ambetter / Centene	$44 - $98	125%
Aetna	$46 - $100	131%
Primewell Health Services - Commercial	$51 - $130	145%
Primewell Health Services Commercial Exchange Plan	$51 - $130	145%
Prime Health Services Ppo -Workers Comp	$58	165%
Cor Vel	$59	168%
Zelis	$62 - $116	177%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $94.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97530.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Laird Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97530.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.