CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Lima Memorial Health System

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.2× the $35 Medicare rate · typically $29–$49
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
about $6 over the fair price · 1.4× Medicare
Medicare pays $35 Fair price $42 This hospital $48 Cash price $103 Hospital's list price $114

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $22 Priciest $48

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

A fair price for a Occupational therapy (therapeutic activities) is about $42 (about 1.2× the $35 Medicare rate). Lima Memorial Health System charges insurers about $48, or about $103 in cash — about the fair price. Located in Lima, OH.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $138 - $153 393%
Aetnamajor $33 - $40 94%
CareSource $58 165%
Devoted Health $34 97%
+ 2 smaller / regional plans $24 - $57

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Facility Profile & Credentials

  • Address: 1001 Bellefontaine Avenue, Lima, OH 45804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals