CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.7× the $35 Medicare rate · typically $34–$168
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $24 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $58 This hospital $34 Cash price $77 Hospital's list price $140

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 $58 (about 1.7× the $35 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $34, or about $77 in cash — below the fair price — a good deal. Located in Milwaukee, WI.

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 - $384 97%
Blue Cross Blue Shieldmajor $34 - $329 97%
Aetnamajor $34 - $105 97%
Cignamajor $92 - $126 262%
Humanamajor $34 97%
Dean Health Plan $94 - $129 268%
Health Net $77 - $298 220%
HealthPartners $34 - $100 97%
Molina $34 97%
Priority Health $34 97%
Quartz $34 97%
Security Health Plan $34 - $127 97%
WellCare $34 97%
+ 15 smaller / regional plans $34 - $263
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals