CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sidney Health Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.5× the $35 Medicare rate · typically $27–$94
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $4 over the fair price · 1.6× Medicare
Medicare pays $35 Fair price $53 This hospital $57 Cash price $57 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 6 of 8 other MT hospitals charge more for the same procedure.

Cheapest $34 Priciest $88

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 $53 (about 1.5× the $35 Medicare rate). Sidney Health Center charges insurers about $57, or about $57 in cash — about the fair price. Located in Sidney, MT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $33 - $98 94%
Blue Cross Blue Shieldmajor $57 - $103 163%
Aetnamajor $55 - $98 157%
Cignamajor $57 - $98 163%
Sanford Health Plan $61 - $98 174%
+ 4 smaller / regional plans $57 - $100

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 216 14Th Ave Sw, Sidney, MT 59270
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals