CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Shodair Children's Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$79
about 2.3× the $35 Medicare rate · typically $27–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
about $9 over the fair price · 2.5× Medicare
Medicare pays $35 Fair price $79 This hospital $88 Cash price $91 Hospital's list price $121

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 $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 $79 (about 2.3× the $35 Medicare rate). Shodair Children's Hospital charges insurers about $88, or about $91 in cash — about the fair price. Located in Helena, MT.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
PacificSource $91 259%
+ 1 smaller / regional plan $88

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Facility Profile & Credentials

  • Address: 2755 Colonial Dr, Helena, MT 59601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric