Occupational therapy (therapeutic activities)
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $32 compared to the $33 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.97× fair market pricing.
One of the lower prices — 0 of 8 other OK hospitals charge more for the same procedure.
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 $33 (about 0.9× the $35 Medicare rate). Mercy Hospital Ardmore, Inc charges insurers about $32, or about $57 in cash — about the fair price. Located in Ardmore, OK.
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
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 | $32 - $112 | 91% |
| Blue Cross Blue Shieldmajor | $32 | 91% |
| Aetnamajor | $32 - $55 | 91% |
| Cignamajor | $33 - $52 | 94% |
| Humanamajor | $32 - $61 | 91% |
| Ambetter (Centene) | $45 | 128% |
| Healthcare Highways | $34 - $53 | 97% |
| HealthLink | $53 - $57 | 151% |
| Independent Health | $32 | 91% |
| Medica | $88 - $95 | 251% |
| + 40 smaller / regional plans | $32 - $79 |
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.
Other Procedures at Mercy Hospital Ardmore, Inc
Compare: Occupational therapy (therapeutic activities) at other OK hospitals
- McCurtain Memorial Hospital · Idabel $25
- Mercy Hospital Oklahoma City, Inc · Oklahoma City $32
- Mercy Hospital Ada · Ada $32
- Oklahoma Heart Hospital, LLC · Oklahoma City $32
- Oklahoma Heart Hospital South, LLC · Oklahoma City $32
- Elkview General Hospital · Hobart $32
- Mercy Hospital Watonga, Inc · Watonga $32
- Mercy Hospital Tishomingo Inc · Tishomingo $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Mercy Hospital Ardmore, Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $32
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $32).
Self-Pay Cash Rate ($57) Beats Your Bill
Mercy Hospital Ardmore, Inc's published 45 CFR § 180 self-pay cash rate is $57 (vs. $32 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $33 Fair BaseRate ($35 Medicare)
Your bill ($88) is $55 above the denoised Fair BaseRate ($33) and 2.5× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.