CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Redington Fairview General Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.0× the $32 Medicare rate · typically $33–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Above the fair price
about $48 over the fair price · 3.5× Medicare
Medicare pays $32 Fair price $65 This hospital $113 Cash price $82 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $30 Priciest $113

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

A fair price for a Occupational therapy (self-care training) is about $65 (about 2.0× the $32 Medicare rate). Redington Fairview General Hospital charges insurers about $113, or about $82 in cash — above the fair price. Located in Skowhegan, ME.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $65. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana CignaKaiser 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 $113 349%
Blue Cross Blue Shieldmajor $113 349%
Aetnamajor $113 349%
Humanamajor $113 349%
+ 2 smaller / regional plans $113

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.

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Facility Profile & Credentials

  • Address: 46 Fairview Ave Po Box 468, Skowhegan, ME 04976
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals