CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Montgomery County Memorial Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$97
about 3.0× the $32 Medicare rate · typically $34–$156
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $97 Cash price $40 Hospital's list price $57
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 | $30 | 93% |
| Blue Cross Blue Shieldmajor | $36 - $81 | 111% |
| Aetnamajor | $54 | 167% |
| Medica | $30 - $48 | 93% |
Self-Pay How to get the cash price
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Other Procedures at Montgomery County Memorial Hospital
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.