CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: SSM Health St Agnes Hospital-Fond Du Lac

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $35 Medicare rate · typically $34–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $37 This hospital $34 Cash price $62 Hospital's list price $112

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

A typical price — 0 charge more and 3 charge less, among the 9 WI hospitals compared.

Cheapest $30 Priciest $34

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $37 (about 1.1× the $35 Medicare rate). SSM Health St Agnes Hospital-Fond Du Lac charges insurers about $34, or about $62 in cash — about the fair price. Located in Fond Du Lac, WI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $34 97%
Molina $26 74%
WellCare $35 100%
+ 1 smaller / regional plan $66

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Facility Profile & Credentials

  • Address: 430 E Division St, Fond Du Lac, WI 54935
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals