CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Pawhuska Hospital, Inc
Billing Code: 97530 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$57
about 1.6× the $35 Medicare rate · typically $45–$102
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $57 Cash price $42 Hospital's list price $73
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 | $34 - $263 | 97% |
| Blue Cross Blue Shieldmajor | $31 - $74 | 88% |
| Aetnamajor | $34 - $87 | 97% |
| Cignamajor | $40 - $59 | 114% |
| Humanamajor | $35 - $87 | 100% |
| Ambetter (Centene) | $51 - $76 | 145% |
| Healthcare Highways | $38 - $57 | 108% |
| WellCare | $34 - $50 | 97% |
| + 4 smaller / regional plans | $53 - $87 |
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pawhuska Hospital, Inc
Compare: Occupational therapy (therapeutic activities) at other OK hospitals
- McCurtain Memorial Hospital · Idabel $25
- 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
- Mercy Hospital Marietta · Marietta $32
- Mercy Hospital Healdton, Inc. · Healdton $32
Insurance negotiated median for the same procedure, sorted lowest first.