CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mainehealth Maine Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.2× the $32 Medicare rate · typically $32–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $4 over the fair price · 1.3× Medicare
Medicare pays $32 Fair price $39 This hospital $43 Cash price $151 Hospital's list price $151

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ME hospitals compared.

Cheapest $30 Priciest $59

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $39 (about 1.2× the $32 Medicare rate). Mainehealth Maine Medical Center charges insurers about $43, or about $151 in cash — about the fair price. Located in Portland, ME.

What each insurance company pays

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

5 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 $32 - $177 99%
Blue Cross Blue Shieldmajor $32 - $88 99%
Aetnamajor $32 - $164 99%
Cignamajor $93 - $164 287%
Humanamajor $32 - $37 99%
Harvard Pilgrim $63 - $170 194%
WellCare $33 - $39 102%
+ 1 smaller / regional plan $66 - $166
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

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Facility Profile & Credentials

  • Address: 22 Bramhall St, Portland, ME 04102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals