CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Buchanan County Health Center
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$99
about 3.1× the $32 Medicare rate · typically $33–$166
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $99 Cash price $135 Hospital's list price $159
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $57 - $159 | 176% |
| Blue Cross Blue Shieldmajor | $56 - $159 | 173% |
| Aetnamajor | $57 - $159 | 176% |
| Cignamajor | $132 | 407% |
| Humanamajor | $57 - $159 | 176% |
| HealthPartners | $57 - $159 | 176% |
| Molina | $56 - $159 | 173% |
| + 2 smaller / regional plans | $56 - $159 |
Self-Pay How to get the cash price
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Other Procedures at Buchanan County Health Center
Compare: Occupational therapy (self-care training) at other IA hospitals
- Hawarden Regional Healthcare · Hawarden $26
- Mercyone Des Moines Medical Center · Des Moines $28
- Ottumwa Regional Health Center · Ottumwa $28
- Mary Greeley Medical Center · Ames $29
- Guthrie County Hospital · Guthrie Center $31
- Unitypoint Health - Marshalltown · Marshalltown $32
- Trinity Muscatine · Muscatine $32
- St Lukes Hospital · Cedar Rapids $32
Insurance negotiated median for the same procedure, sorted lowest first.