CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.7× the $35 Medicare rate · typically $25–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Above the fair price
about $6 over the fair price · 0.9× Medicare
Medicare pays $35 Fair price $26 This hospital $32 Cash price $79 Hospital's list price $122

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 $26 (about 0.7× the $35 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $32, or about $79 in cash — above the fair price. Located in Healdton, OK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $26. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $110 97%
Blue Cross Blue Shieldmajor $34 - $66 97%
Aetnamajor $32 - $83 91%
Cignamajor $35 - $92 100%
Humanamajor $32 - $34 91%
Ambetter (Centene) $37 106%
Healthcare Highways $92 262%
HealthLink $104 - $110 297%
Independent Health $34 97%
Medica $46 131%
+ 38 smaller / regional plans $34 - $110
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3462 Hospital Rd, Healdton, OK 73438
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals