CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Highland District Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $27–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $6 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $48 This hospital $54 Cash price $154 Hospital's list price $192

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 $54

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 $48 (about 1.4× the $35 Medicare rate). Highland District Hospital charges insurers about $54, or about $154 in cash — about the fair price. Located in Hillsboro, OH.

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 $61 - $177 174%
Blue Cross Blue Shieldmajor $54 - $146 154%
Aetnamajor $63 - $156 180%
Cignamajor $173 493%
Humanamajor $54 - $170 154%
Medical Mutual $175 499%
+ 5 smaller / regional plans $52 - $173
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1275 North High Street, Hillsboro, OH 45133
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals