CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Story County Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 2.8× the $32 Medicare rate · typically $36–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Below the fair price — a good deal
about $11 under the fair price · 2.5× Medicare
Medicare pays $32 Fair price $91 This hospital $80 Cash price $64 Hospital's list price $80

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $26 Priciest $80

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

A fair price for a Occupational therapy (self-care training) is about $91 (about 2.8× the $32 Medicare rate). Story County Hospital charges insurers about $80, or about $64 in cash — below the fair price — a good deal. Located in Nevada, IA.

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✓ Aetna✓ Humana CignaKaiser 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 $49 - $80 151%
Blue Cross Blue Shieldmajor $49 - $80 151%
Aetnamajor $49 - $80 151%
Humanamajor $49 - $80 151%
HealthPartners $49 - $80 151%
Molina $59 - $80 182%
+ 1 smaller / regional plan $59 - $80

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 640 South 19Th Street, Nevada, IA 50201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals