CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Clarinda Regional Health Center
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.3× the $32 Medicare rate · typically $33–$142
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $75 Cash price $56 Hospital's list price $95
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $46 - $90 | 142% |
| Blue Cross Blue Shieldmajor | $47 - $76 | 145% |
| Aetnamajor | $89 | 275% |
| Ambetter (Centene) | $46 - $49 | 142% |
| Amerigroup | $95 | 293% |
| GEHA | $88 | 272% |
| Molina | $46 | 142% |
| + 1 smaller / regional plan | $50 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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.
Other Procedures at Clarinda Regional 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.