CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Ascension River District Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $32 Medicare rate · typically $26–$42
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $32 Fair price $32 This hospital $34 Cash price $64 Hospital's list price $115

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 $34

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 $32 (about 1.0× the $32 Medicare rate). Ascension River District Hospital charges insurers about $34, or about $64 in cash — about the fair price. Located in East China, 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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $31 96%
Humanamajor $31 96%
Ambetter (Centene) $38 117%
AmeriHealth $30 93%
Molina $32 - $38 99%
WellCare $32 99%
+ 8 smaller / regional plans $31 - $58
Government programs also on file: Medicare, 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: 4100 River Rd, East China, MI 48054
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals