CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sunrise Hospital and Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $31–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $35 Fair price $35 This hospital $36 Cash price $222 Hospital's list price $222

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $31 Priciest $36

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $35 (about 1.0× the $35 Medicare rate). Sunrise Hospital and Medical Center charges insurers about $36, or about $222 in cash — about the fair price. Located in Las Vegas, NV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $31 - $97 88%
Blue Cross Blue Shieldmajor $31 - $73 88%
Aetnamajor $5 - $69 14%
Cignamajor $31 - $32 88%
Humanamajor $21 - $38 60%
Ambetter (Centene) $31 - $98 88%
CareSource $32 91%
Health Net $35 - $37 100%
Molina $30 - $32 86%
SelectHealth $30 - $107 86%
+ 18 smaller / regional plans $27 - $349
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals