CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Melissa Memorial Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.9× the $32 Medicare rate · typically $29–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$60
About the fair price
about $2 under the fair price · 1.9× Medicare
Medicare pays $32 Fair price $62 This hospital $60 Cash price $110 Hospital's list price $138

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

Highest price of the 9 CO hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $60

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

A fair price for a Occupational therapy (self-care training) is about $62 (about 1.9× the $32 Medicare rate). Melissa Memorial Hospital charges insurers about $60, or about $110 in cash — about the fair price. Located in Holyoke, CO.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $84 - $121 259%
Aetnamajor $134 414%
Cignamajor $132 407%
Humanamajor $84 - $131 259%
Medica $124 383%
+ 2 smaller / regional plans $60 - $131
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 E Johnson St, Holyoke, CO 80734
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals