CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$57
about 1.6× the $35 Medicare rate · typically $37–$114
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $57 Cash price $157 Hospital's list price $157
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 | $110 - $157 | 314% |
| Blue Cross Blue Shieldmajor | $157 | 448% |
| Aetnamajor | $123 - $157 | 351% |
| Cignamajor | $157 | 448% |
| Humanamajor | $157 | 448% |
| Medica | $108 | 308% |
| Molina | $157 | 448% |
| Quartz | $157 | 448% |
| Security Health Plan | $157 | 448% |
| WellCare | $157 | 448% |
| + 14 smaller / regional plans | $126 - $157 |
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Rehabilitation Hospital of Wisconsin
Compare: Occupational therapy (therapeutic activities) at other WI hospitals
- SSM Health St Clare Hospital - Baraboo · Baraboo $30
- SSM Health St Mary's Hospital - Madison · Madison $30
- Thedacare Regional Medical Center - Appleton Inc · Appleton $33
- The Monroe Clinic · Monroe $34
- St Nicholas Hospital · Sheboygan $34
- St Josephs Community Hospital West Bend · West Bend $34
- St Vincent Hospital · Green Bay $34
- SSM Health St Agnes Hospital-Fond Du Lac · Fond Du Lac $34
Insurance negotiated median for the same procedure, sorted lowest first.