CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Northeastern Health System

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.4× the $35 Medicare rate · typically $50–$167
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
About the fair price
about $1 under the fair price · 1.4× Medicare
Medicare pays $35 Fair price $50 This hospital $49 Cash price $46 Hospital's list price $61

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 $50 (about 1.4× the $35 Medicare rate). Northeastern Health System charges insurers about $49, or about $46 in cash — about the fair price. Located in Tahlequah, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $24 - $2,530 68%
Blue Cross Blue Shieldmajor $10 - $134 29%
Aetnamajor $21 - $13,108 60%
Humanamajor $29 - $13,370 83%
Ambetter (Centene) $77 220%
+ 2 smaller / regional plans $49 - $354
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 1400 East Downing Street, Tahlequah, OK 74465
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals