CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St Mary's Regional Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.5× the $35 Medicare rate · typically $37–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $3 under the fair price · 1.4× Medicare
Medicare pays $35 Fair price $52 This hospital $49 Cash price $99 Hospital's list price $247

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $25 Priciest $49

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

A fair price for a Occupational therapy (therapeutic activities) is about $52 (about 1.5× the $35 Medicare rate). St Mary's Regional Medical Center charges insurers about $49, or about $99 in cash — about the fair price. Located in Enid, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $101 288%
Aetnamajor $99 - $132 282%
Cignamajor $91 - $121 259%
GEHA $180 - $240 513%
+ 1 smaller / regional plan $49
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 305 South 5Th Street, Enid, OK 73701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals