CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Watertown Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$69
about 2.0× the $35 Medicare rate · typically $36–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $14 under the fair price · 1.6× Medicare
Medicare pays $35 Fair price $69 This hospital $55

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $55

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 $69 (about 2.0× the $35 Medicare rate). Watertown Memorial Hospital charges insurers about $55 — below the fair price — a good deal. Located in Watertown, 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%
+ 1 smaller / regional plan $76

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Facility Profile & Credentials

  • Address: 125 Hospital Drive, Watertown, WI 53098
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals