CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Orange City Area Health System
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$88
about 2.8× the $32 Medicare rate · typically $33–$128
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $88 Cash price $65 Hospital's list price $81
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $73 | 225% |
| Blue Cross Blue Shieldmajor | $121 | 373% |
| HealthPartners | $73 | 225% |
| Sanford Health Plan | $77 | 238% |
| + 1 smaller / regional plan | $79 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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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
- 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.