CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Gila Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.3× the $35 Medicare rate · typically $37–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $11 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $47 This hospital $36 Cash price $106 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 2 charge more and 4 charge less, among the 9 NM hospitals compared.

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 $47 (about 1.3× the $35 Medicare rate). Gila Regional Medical Center charges insurers about $36, or about $106 in cash — below the fair price — a good deal. Located in Silver City, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $36 - $90 103%
Blue Cross Blue Shieldmajor $36 - $37 103%
Presbyterian $81 - $103 231%
Government programs also on file: Medicare.
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: 1313 E 32Nd St, Silver City, NM 88061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals