CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Ivinson Memorial Hospital

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $70
Cash Discount Price: $74
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at Ivinson Memorial Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 2.00x the Medicare baseline. Located in 255 N 30Th, Laramie, WY.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$35.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $35.07 (100%)

Cash / Self-Pay: $74 (211%)

Insurance Median: $70 (200%)

Cash: $74 (211% of Medicare)

Ins. Median: $70 (200% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cms	$35	100%
Wise Networks	$69	197%
Altius	$70	200%
Blue Cross Blue Shield	$70	200%
Cigna	$70	200%
Coventry	$70	200%
First Health	$70	200%
Great West Life	$70	200%
Midlands Choice	$70	200%
UnitedHealthcare	$70	200%
Aetna	$71	202%
Assurant	$71	202%
Health Information Network	$71	202%
Meritain	$71	202%
Rci Insurance Group	$71	202%
Starmark	$71	202%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $74.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97530.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ivinson Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97530.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.