CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.1× the $35 Medicare rate · typically $27–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $8 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $40 This hospital $32 Cash price $94 Hospital's list price $144

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 0 of 8 other OK hospitals charge more for the same procedure.

Cheapest $25 Priciest $32

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 $40 (about 1.1× the $35 Medicare rate). Mercy Hospital Watonga, Inc charges insurers about $32, or about $94 in cash — below the fair price — a good deal. Located in Watonga, 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

✓ 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 $55 - $114 157%
Blue Cross Blue Shieldmajor $55 - $75 157%
Aetnamajor $32 - $110 91%
Cignamajor $57 - $122 163%
Humanamajor $32 - $55 91%
Ambetter (Centene) $43 123%
Healthcare Highways $108 308%
HealthLink $122 348%
Independent Health $55 157%
Medica $81 231%
+ 31 smaller / regional plans $43 - $122
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 North Clarence Nash Boulevard, Watonga, OK 73772
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals