CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Northern Maine Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$64
about 2.0× the $32 Medicare rate · typically $30–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $34 under the fair price · 0.9× Medicare
Medicare pays $32 Fair price $64 This hospital $30 Cash price $30 Hospital's list price $109

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Lowest price of the 9 ME hospitals we have prices for — a strong deal.

Cheapest $30 Priciest $59

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 $64 (about 2.0× the $32 Medicare rate). Northern Maine Medical Center charges insurers about $30, or about $30 in cash — below the fair price — a good deal. Located in Fort Kent, 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 $58 - $108 179%
Blue Cross Blue Shieldmajor $59 - $102 182%
Aetnamajor $58 - $105 179%
Cignamajor $102 - $110 315%
Humanamajor $58 - $62 179%
Harvard Pilgrim $93 - $100 287%
WellCare $58 - $62 179%
+ 6 smaller / regional plans $30 - $108
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 194 E Main Street, Fort Kent, ME 04743
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals