Occupational therapy (self-care training)
Facility: Mainehealth Stephens Hospital
Billing Code: 97535 (CPT)
Highest price of the 9 ME hospitals we have prices for — worth calling around.
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 $48 (about 1.5× the $32 Medicare rate). Mainehealth Stephens Hospital charges insurers about $59, or about $188 in cash — above the fair price. Located in Norway, 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 $48. 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.
5 of 6 major insurers have a published price at this hospital
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 | $37 - $180 | 114% |
| Blue Cross Blue Shieldmajor | $32 - $176 | 99% |
| Aetnamajor | $32 - $172 | 99% |
| Cignamajor | $175 | 540% |
| Humanamajor | $37 - $73 | 114% |
| Harvard Pilgrim | $63 - $182 | 194% |
| WellCare | $38 - $76 | 117% |
| + 1 smaller / regional plan | $67 - $179 |
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.
Other Procedures at Mainehealth Stephens Hospital
Compare: Occupational therapy (self-care training) at other ME hospitals
- Northern Maine Medical Center · Fort Kent $30
- Central Maine Medical Center · Lewiston $31
- Cary Medical Center · Caribou $31
- Mainehealth Pen Bay Hospital · Rockport $37
- Mainehealth Mid Coast Hospital · Brunswick $38
- Mainehealth Maine Medical Center · Portland $43
- Mainehealth Franklin Hospital · Farmington $54
- Lincolnhealth · Damariscotta $59
Insurance negotiated median for the same procedure, sorted lowest first.