CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Lukes Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $32–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
1.1× Medicare
Medicare pays $32 Fair price $34 This hospital $34 Cash price $81 Hospital's list price $149

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $18 Priciest $34

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

A fair price for a Occupational therapy (self-care training) is about $34 (about 1.1× the $32 Medicare rate). St Lukes Hospital charges insurers about $34, or about $81 in cash — about the fair price. Located in Duluth, MN.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $25 - $101 77%
Aetnamajor $34 105%
Humanamajor $34 105%
HealthPartners $33 102%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 915 East 1St Street, Duluth, MN 55805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals