CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Great Plains Health
Billing Code: 97530 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$173
about 4.9× the $35 Medicare rate · typically $84–$225
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $173 Cash price $127 Hospital's list price $212
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 | $201 | 573% |
| Blue Cross Blue Shieldmajor | $188 | 536% |
| Aetnamajor | $199 - $201 | 567% |
| Ambetter (Centene) | $167 | 476% |
| GEHA | $199 | 567% |
| Medica | $195 | 556% |
| Molina | $40 | 114% |
| Oscar Health | $197 | 562% |
| + 3 smaller / regional plans | $37 - $201 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Great Plains Health
Compare: Occupational therapy (therapeutic activities) at other NE hospitals
- Fillmore County Hospital · Geneva $33
- Columbus Community Hospital, Inc · Columbus $34
- Faith Regional Health Services · Norfolk $34
- Howard County Medical Center · St Paul $34
- Valley County Health System · Ord $34
- Lincoln Surgical Hospital · Lincoln $35
- St Francis Memorial Hospital · West Point $40
- Methodist Fremont Health · Fremont $49
Insurance negotiated median for the same procedure, sorted lowest first.