CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Barrett Hospital & Healthcare
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$120
about 3.4× the $35 Medicare rate · typically $29–$120
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $120 Cash price $98 Hospital's list price $103
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 - $95 | 180% |
| Blue Cross Blue Shieldmajor | $93 - $121 | 265% |
| Humanamajor | $61 | 174% |
| + 6 smaller / regional plans | $93 - $103 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Barrett Hospital & Healthcare
Compare: Occupational therapy (therapeutic activities) at other MT hospitals
- St Peters Health · Helena $34
- St. Patrick Hospital · Missoula $36
- Sidney Health Center · Sidney $57
- Logan Health - Whitefish · Whitefish $58
- Logan Health Medical Center · Kalispell $67
- Great Falls Clinic Hospital · Great Falls $67
- Central Montana Medical Center · Lewistown $72
- Intermountain Health St Vincent Regional Hospital · Billings $88
Insurance negotiated median for the same procedure, sorted lowest first.