CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Promedica Monroe Regional Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $30–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
0.9× Medicare
Medicare pays $32 Fair price $30 This hospital $30 Cash price $85 Hospital's list price $131

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $17 Priciest $31

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 $30 (about 0.9× the $32 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $30, or about $85 in cash — about the fair price. Located in Monroe, MI.

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 $18 - $106 56%
Blue Cross Blue Shieldmajor $17 - $74 52%
Aetnamajor $18 - $92 56%
Humanamajor $31 96%
AmeriHealth $22 68%
Health Net $92 284%
Meridian $17 52%
Molina $18 56%
Paramount $30 - $100 93%
Priority Health $17 - $72 52%
+ 2 smaller / regional plans $30 - $107
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals