CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Memorial Hospital of Lafayette County

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.6× the $35 Medicare rate · typically $28–$107
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $16 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $56 This hospital $40 Cash price $102 Hospital's list price $128

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 $40

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 $56 (about 1.6× the $35 Medicare rate). Memorial Hospital of Lafayette County charges insurers about $40, or about $102 in cash — below the fair price — a good deal. Located in Darlington, 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✓ Aetna✓ Humana CignaKaiser 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 $40 - $83 114%
Blue Cross Blue Shieldmajor $40 - $104 114%
Aetnamajor $40 - $83 114%
Humanamajor $40 - $122 114%
Dean Health Plan $40 - $123 114%
Quartz $40 - $86 114%
+ 3 smaller / regional plans $40 - $108

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: 211 Bev Anderson Dr, Darlington, WI 53530
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals