CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Spectrum Health

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$53
about 1.7× the $32 Medicare rate · typically $33–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$56
About the fair price
about $3 over the fair price · 1.8× Medicare
Medicare pays $32 Fair price $53 This hospital $56 Cash price $97 Hospital's list price $97

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $17 Priciest $56

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

A fair price for a Occupational therapy (self-care training) is about $53 (about 1.7× the $32 Medicare rate). Spectrum Health charges insurers about $56, or about $97 in cash — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $31 96%
Aetnamajor $33 102%
Meridian $56 173%
Priority Health $33 - $124 102%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 Michigan St Ne, Grand Rapids, MI 49503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals