CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$55
about 1.6× the $35 Medicare rate · typically $35–$120
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $55 Cash price $198 Hospital's list price $198
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 | $198 | 565% |
| Blue Cross Blue Shieldmajor | $198 | 565% |
| Aetnamajor | $198 | 565% |
| Cignamajor | $198 | 565% |
| Humanamajor | $198 | 565% |
| Ambetter (Centene) | $198 | 565% |
| CareSource | $198 | 565% |
| Devoted Health | $198 | 565% |
| Medical Mutual | $109 - $198 | 311% |
| Molina | $198 | 565% |
| UPMC Health Plan | $198 | 565% |
| + 1 smaller / regional plan | $135 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Occupational therapy (therapeutic activities) at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $22
- Cincinnati Children's Hospital Medical Center · Cincinnati $23
- Riverside Methodist Hospital · Columbus $33
- Wilson Memorial Hospital · Sidney $33
- Ohiohealth O'Bleness Hospital · Athens $33
- Grant Medical Center · Columbus $33
- Parma Community General Hospital · Parma $33
- University of Toledo Medical Center · Toledo $33
Insurance negotiated median for the same procedure, sorted lowest first.