CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mainehealth Franklin Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$47
about 1.5× the $32 Medicare rate · typically $32–$70
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $7 over the fair price · 1.7× Medicare
Medicare pays $32 Fair price $47 This hospital $54 Cash price $191 Hospital's list price $191

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 6 of 8 other ME hospitals charge less.

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 $47 (about 1.5× the $32 Medicare rate). Mainehealth Franklin Hospital charges insurers about $54, or about $191 in cash — about the fair price. Located in Farmington, ME.

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 $37 - $171 114%
Blue Cross Blue Shieldmajor $37 - $67 114%
Aetnamajor $32 - $146 99%
Cignamajor $160 494%
Harvard Pilgrim $63 - $161 194%
WellCare $37 - $59 114%
+ 1 smaller / regional plan $67 - $167
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: 111 Franklin Health Commons, Farmington, ME 04938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals