Occupational therapy (self-care training)
Facility: Orange City Area Health System
Billing Code: 97535 (CPT)
This hospital's typical commercial price is $127 compared to the $89 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.43× fair market pricing.
Highest price of the 9 IA hospitals we have prices for — worth calling around.
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 $89 (about 2.8× the $32 Medicare rate). Orange City Area Health System charges insurers about $127, or about $259 in cash — above the fair price. Located in Orange City, IA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $89. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
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 | $292 | 901% |
| Blue Cross Blue Shieldmajor | $121 | 373% |
| HealthPartners | $292 | 901% |
| Sanford Health Plan | $308 | 951% |
| + 1 smaller / regional plan | $314 |
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.
Other Procedures at Orange City Area Health System
Compare: Occupational therapy (self-care training) at other IA hospitals
- Hawarden Regional Healthcare · Hawarden $26
- Mercyone Des Moines Medical Center · Des Moines $28
- Mary Greeley Medical Center · Ames $29
- Ottumwa Regional Health Center · Ottumwa $31
- Unitypoint Health - Marshalltown · Marshalltown $32
- Trinity Muscatine · Muscatine $32
- St Lukes Hospital · Cedar Rapids $32
- Trinity - Bettendorf · Bettendorf $32
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Orange City Area Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $118
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $118).
Self-Pay Cash Rate ($259) Beats Your Bill
Orange City Area Health System's published 45 CFR § 180 self-pay cash rate is $259 (vs. $127 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $89 Fair BaseRate ($32 Medicare)
Your bill ($324) is $235 above the denoised Fair BaseRate ($89) and 10.1× the $32 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.