CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Lodi Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$80
about 2.3× the $35 Medicare rate · typically $38–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
Above the fair price
about $25 over the fair price · 3.0× Medicare
Medicare pays $35 Fair price $80 This hospital $105 Cash price $165 Hospital's list price $254

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 $105

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 $80 (about 2.3× the $35 Medicare rate). Lodi Community Hospital charges insurers about $105, or about $165 in cash — above the fair price. Located in Lodi, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $80. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $45 - $181 128%
Blue Cross Blue Shieldmajor $45 - $208 128%
Aetnamajor $86 - $254 245%
Cignamajor $164 468%
Humanamajor $76 217%
AmeriHealth $115 328%
CareSource $105 299%
Molina $110 314%
Oscar Health $77 - $98 220%
UPMC Health Plan $152 433%
+ 15 smaller / regional plans $76 - $229
Excludes 2 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

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals