CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: UNM Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $33–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $35 This hospital $33 Cash price $50 Hospital's list price $91

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 9 NM hospitals we have prices for — a strong deal.

Cheapest $33 Priciest $37

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

A fair price for a Occupational therapy (therapeutic activities) is about $35 (about 1.0× the $35 Medicare rate). UNM Hospital charges insurers about $33, or about $50 in cash — about the fair price. Located in Albuquerque, NM.

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✓ Humana CignaKaiser 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 $33 94%
Blue Cross Blue Shieldmajor $33 94%
Aetnamajor $33 94%
Humanamajor $30 86%
Devoted Health $40 114%
Molina $82 234%
Presbyterian $67 191%
+ 10 smaller / regional plans $33 - $82

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals