CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.2× the $35 Medicare rate · typically $26–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $5 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $41 This hospital $36

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 $41 (about 1.2× the $35 Medicare rate). Childrens Hospital of Wisconsin Fox Valley charges insurers about $36 — below the fair price — a good deal. Located in Neenah, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 94%
Blue Cross Blue Shieldmajor $38 108%
Molina $36 103%
+ 4 smaller / regional plans $33 - $41

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: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens