CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Pawnee County Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$101
about 2.9× the $35 Medicare rate · typically $42–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $3 under the fair price · 2.8× Medicare
Medicare pays $35 Fair price $101 This hospital $98 Cash price $82 Hospital's list price $103

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 $98

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 $101 (about 2.9× the $35 Medicare rate). Pawnee County Memorial Hospital charges insurers about $98, or about $82 in cash — about the fair price. Located in Pawnee City, NE.

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 $71 - $98 202%
Blue Cross Blue Shieldmajor $71 - $98 202%
Aetnamajor $71 - $97 202%
Ambetter (Centene) $96 274%
Medica $71 - $99 202%
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: 600 I Street, Pawnee City, NE 68420
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals