CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Froedtert Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 1.3× the $35 Medicare rate · typically $34–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $12 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $46 This hospital $34 Cash price $69 Hospital's list price $125

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 $46 (about 1.3× the $35 Medicare rate). Froedtert Community Hospital charges insurers about $34, or about $69 in cash — below the fair price — a good deal. Located in New Berlin, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 97%
Blue Cross Blue Shieldmajor $34 - $57 97%
Cignamajor $72 - $74 205%
Humanamajor $34 97%
Health Net $74 - $76 211%
HealthPartners $34 - $82 97%
Molina $34 97%
Security Health Plan $34 97%
+ 13 smaller / regional plans $34 - $110
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4805 S Moorland Rd, New Berlin, WI 53151
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals