CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 1.9× the $35 Medicare rate · typically $36–$88
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $27 under the fair price · 1.2× Medicare
Medicare pays $35 Fair price $68 This hospital $41 Cash price $115 Hospital's list price $115

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 4 charge more and 4 charge less, among the 9 ND hospitals compared.

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 $68 (about 1.9× the $35 Medicare rate). PAM Rehabilitation Hospital of Fargo charges insurers about $41, or about $115 in cash — below the fair price — a good deal. Located in Fargo, ND.

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 $95 271%
Blue Cross Blue Shieldmajor $27 - $41 77%
Aetnamajor $40 114%
Cignamajor $69 - $124 197%
Medica $24 - $49 68%
Sanford Health Plan $53 151%
UCare $27 77%
+ 5 smaller / regional plans $27 - $86
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL