CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Spanish Peaks Regional Health Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $26–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
About the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $32 Fair price $42 This hospital $44 Cash price $102 Hospital's list price $113

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 $44

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 $42 (about 1.3× the $32 Medicare rate). Spanish Peaks Regional Health Center charges insurers about $44, or about $102 in cash — about the fair price. Located in Walsenburg, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 - $116 105%
Blue Cross Blue Shieldmajor $44 - $112 136%
Cignamajor $94 - $112 290%
Humanamajor $34 - $61 105%
Devoted Health $35 - $64 108%
+ 6 smaller / regional plans $44 - $116
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: 23500 Us Highway 160, Walsenburg, CO 81089
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals