CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$50
about 1.6× the $32 Medicare rate · typically $44–$64
modeled estimate · not a bill or quote
What this hospital charges insurers
$50
About the fair price
1.6× Medicare
Medicare pays $32 Fair price $50 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 $50 (about 1.6× the $32 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $50, or about $107 in cash — about the fair price. Located in Plymouth, 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 $118 364%
AvMed $148 457%
CareSource $48 148%
Dean Health Plan $148 457%
GEHA $104 321%
Health Net $118 - $126 364%
HealthPartners $118 364%
Medical Mutual $107 330%
Meridian $31 96%
MVP Health Care $118 364%
Paramount $148 457%
Priority Health $118 364%
+ 53 smaller / regional plans $31 - $186
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: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals