CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Jacobson Memorial Hospital Care Center
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$141
about 4.0× the $35 Medicare rate · typically $44–$157
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $141 Cash price $132 Hospital's list price $176
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 | $134 - $176 | 382% |
| Blue Cross Blue Shieldmajor | $176 - $246 | 502% |
| Aetnamajor | $106 - $176 | 302% |
| Cignamajor | $158 | 451% |
| Humanamajor | $176 | 502% |
| HealthPartners | $158 | 451% |
| Medica | $141 | 402% |
| Sanford Health Plan | $176 | 502% |
| + 2 smaller / regional plans | $141 - $176 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Jacobson Memorial Hospital Care Center
Compare: Occupational therapy (therapeutic activities) at other ND hospitals
- Essentia Health · Fargo $34
- Trinity Hospitals · Minot $35
- Sanford Medical Center Fargo · Fargo $36
- Sanford Medical Center Bismarck · Bismarck $37
- PAM Rehabilitation Hospital of Fargo · Fargo $41
- Altru Hospital · Grand Forks $44
- Sanford Hillsboro · Hillsboro $91
- CHI St Alexius Health · Bismarck $102
Insurance negotiated median for the same procedure, sorted lowest first.