CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St James Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 2.8× the $35 Medicare rate · typically $66–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $1 under the fair price · 2.8× Medicare
Medicare pays $35 Fair price $99 This hospital $98 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

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

Cheapest $34 Priciest $98

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

A fair price for a Occupational therapy (therapeutic activities) is about $99 (about 2.8× the $35 Medicare rate). St James Hospital charges insurers about $98 — about the fair price. Located in Butte, MT.

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 $40 - $119 114%
Blue Cross Blue Shieldmajor $118 - $140 336%
Aetnamajor $133 379%
Cignamajor $73 - $133 208%
Humanamajor $40 114%
GEHA $119 339%
PacificSource $98 - $133 279%
+ 6 smaller / regional plans $73 - $133

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Facility Profile & Credentials

  • Address: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals