CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sanford Hillsboro

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$98
about 2.8× the $35 Medicare rate · typically $43–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $7 under the fair price · 2.6× Medicare
Medicare pays $35 Fair price $98 This hospital $91 Cash price $118 Hospital's list price $147

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 6 of 8 other ND hospitals charge less.

Cheapest $34 Priciest $107

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

A fair price for a Occupational therapy (therapeutic activities) is about $98 (about 2.8× the $35 Medicare rate). Sanford Hillsboro charges insurers about $91, or about $118 in cash — about the fair price. Located in Hillsboro, ND.

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✓ Aetna CignaHumanaKaiser 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 $73 - $123 208%
Blue Cross Blue Shieldmajor $60 - $121 171%
Aetnamajor $73 - $128 208%
Health Net $132 376%
HealthPartners $73 - $115 208%
Medica $121 - $130 345%
Sanford Health Plan $67 - $137 191%
Security Health Plan $81 231%
UCare $72 - $129 205%
+ 2 smaller / regional plans $74 - $132
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 12 Third Street Se, Hillsboro, ND 58045
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals