CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Upland Hills Health

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$52
about 1.5× the $35 Medicare rate · typically $38–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
about $1 under the fair price · 1.5× Medicare
Medicare pays $35 Fair price $52 This hospital $51 Cash price $119 Hospital's list price $220

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 $51

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 $52 (about 1.5× the $35 Medicare rate). Upland Hills Health charges insurers about $51, or about $119 in cash — about the fair price. Located in Dodgeville, 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 $35 - $178 100%
Blue Cross Blue Shieldmajor $59 - $187 168%
Cignamajor $158 - $190 451%
Humanamajor $59 - $205 168%
Dean Health Plan $102 - $159 291%
Quartz $66 - $157 188%
Security Health Plan $59 - $64 168%
+ 5 smaller / regional plans $47 - $155
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Compassion Way, Dodgeville, WI 53533
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals