CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.8× the $32 Medicare rate · typically $38–$77
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Below the fair price — a good deal
about $8 under the fair price · 1.5× Medicare
Medicare pays $32 Fair price $57 This hospital $49 Cash price $68 Hospital's list price $104

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $49

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $57 (about 1.8× the $32 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $49, or about $68 in cash — below the fair price — a good deal. Located in Boise, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $30 - $104 93%
Blue Cross Blue Shieldmajor $30 - $96 93%
Aetnamajor $31 - $95 96%
Cignamajor $300 926%
Humanamajor $92 - $104 284%
Kaiser Permanentemajor $96 296%
Dean Health Plan $94 290%
GEHA $94 - $95 290%
Health Net $76 - $94 235%
Moda Health $31 - $94 96%
Molina $73 225%
PacificSource $62 - $76 191%
Paramount $94 290%
Priority Health $300 926%
SelectHealth $61 - $94 188%
+ 42 smaller / regional plans $28 - $300
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals