CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Childrens Hospital of Wisconsin

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.2× the $35 Medicare rate · typically $25–$66
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $6 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $42 This hospital $36 Cash price $93 Hospital's list price $169

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 $36

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 $42 (about 1.2× the $35 Medicare rate). Childrens Hospital of Wisconsin charges insurers about $36, or about $93 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $33 - $129 94%
Blue Cross Blue Shieldmajor $38 - $161 108%
Aetnamajor $149 - $161 425%
Cignamajor $152 433%
Dean Health Plan $135 385%
Health Net $144 - $152 411%
HealthPartners $132 - $149 376%
Molina $37 106%
Quartz $144 411%
Security Health Plan $140 399%
+ 21 smaller / regional plans $33 - $152
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: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens