CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: CHI Health St. Elizabeth

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 2.5× the $35 Medicare rate · typically $41–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
Below the fair price — a good deal
about $12 under the fair price · 2.1× Medicare
Medicare pays $35 Fair price $86 This hospital $74 Cash price $50 Hospital's list price $101

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $33 Priciest $74

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

A fair price for a Occupational therapy (therapeutic activities) is about $86 (about 2.5× the $35 Medicare rate). CHI Health St. Elizabeth charges insurers about $74, or about $50 in cash — below the fair price — a good deal. Located in Lincoln, NE.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue 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
UnitedHealthcaremajor $21 - $216 60%
Ambetter (Centene) $22 - $31 63%
Amerigroup $31 88%
Medica $58 - $73 165%
Molina $32 91%
+ 6 smaller / regional plans $53 - $181
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 555 South 70Th St, Lincoln, NE 68510
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals