CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Essentia Health Virginia

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 1.0× the $32 Medicare rate · typically $31–$32
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $32 Fair price $31 This hospital $32 Cash price $57 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 0 charge more and 4 charge less, among the 9 MN hospitals compared.

Cheapest $18 Priciest $32

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 $31 (about 1.0× the $32 Medicare rate). Essentia Health Virginia charges insurers about $32, or about $57 in cash — about the fair price. Located in Virginia, MN.

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✓ Cigna HumanaKaiser 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 $32 - $79 99%
Blue Cross Blue Shieldmajor $32 - $76 99%
Aetnamajor $76 235%
Cignamajor $81 250%
HealthPartners $32 - $81 99%
Medica $21 - $66 65%
Sanford Health Plan $39 - $67 120%
Security Health Plan $32 - $69 99%
UCare $32 - $59 99%
+ 12 smaller / regional plans $32 - $69
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals