CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Wellstar West Georgia Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.5× the $32 Medicare rate · typically $45–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $2 under the fair price · 1.4× Medicare
Medicare pays $32 Fair price $47 This hospital $45 Cash price $83 Hospital's list price $214

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $11 Priciest $45

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

A fair price for a Occupational therapy (self-care training) is about $47 (about 1.5× the $32 Medicare rate). Wellstar West Georgia Medical Center charges insurers about $45, or about $83 in cash — about the fair price. Located in Lagrange, GA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $33 102%
Aetnamajor $33 102%
Cignamajor $34 105%
Ambetter (Centene) $58 179%
CareSource $64 198%
Clover Health $35 108%
Oscar Health $56 173%
+ 1 smaller / regional plan $61

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1514 Vernon Road, Lagrange, GA 30240
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals