CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Clovis Community Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.0× the $32 Medicare rate · typically $23–$69
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $32 Fair price $33 This hospital $34 Cash price $163 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 0 charge more and 5 charge less, among the 9 CA hospitals compared.

Cheapest $12 Priciest $34

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $33 (about 1.0× the $32 Medicare rate). Clovis Community Medical Center charges insurers about $34, or about $163 in cash — about the fair price. Located in Clovis, CA.

What each insurance company pays

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

6 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 $34 - $377 105%
Blue Cross Blue Shieldmajor $34 - $408 105%
Aetnamajor $34 - $108 105%
Cignamajor $34 - $419 105%
Humanamajor $34 - $173 105%
Kaiser Permanentemajor $34 105%
Health Net $34 - $372 105%
WellCare $34 105%
+ 35 smaller / regional plans $34 - $285
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2755 Herndon Ave, Clovis, CA 93611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals