CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saint Joseph Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$51
about 1.6× the $32 Medicare rate · typically $43–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
about $1 under the fair price · 1.6× Medicare
Medicare pays $32 Fair price $51 This hospital $50 Cash price $107 Hospital's list price $164

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $25 Priciest $50

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

A fair price for a Occupational therapy (self-care training) is about $51 (about 1.6× the $32 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $50, or about $107 in cash — about the fair price. Located in Mishawaka, IN.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $18 - $186 56%
Blue Cross Blue Shieldmajor $18 - $186 56%
Aetnamajor $18 - $107 56%
Cignamajor $105 324%
CareSource $48 148%
GEHA $104 321%
Health Net $105 - $121 324%
HealthPartners $105 324%
Medical Mutual $107 330%
Meridian $31 96%
MVP Health Care $105 324%
Priority Health $105 324%
+ 42 smaller / regional plans $31 - $186
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (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.

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals