CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Riverwood Healthcare Center
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$68
about 2.1× the $32 Medicare rate · typically $32–$124
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $68 Cash price $66 Hospital's list price $118
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $113 - $165 | 349% |
| Blue Cross Blue Shieldmajor | $31 - $38 | 96% |
| Humanamajor | $46 - $49 | 142% |
| HealthPartners | $504 | 1556% |
| Medica | $143 - $508 | 441% |
| UCare | $63 - $194 | 194% |
| + 4 smaller / regional plans | $42 - $389 |
Government programs also on file: Medicare.
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Other Procedures at Riverwood Healthcare Center
Compare: Occupational therapy (self-care training) at other MN hospitals
- St Gabriels Hospital · Little Falls $18
- Gillette Childrens Specialty Hospital · Saint Paul $29
- Olivia Hospital & Clinic · Olivia $30
- Madison Hospital · Madison $30
- Essentia Health St Mary's Medical Center · Duluth $32
- Range Regional Health Services · Hibbing $32
- Essentia Health St Joseph's Medical Center · Brainerd $32
- Essentia Health Virginia · Virginia $32
Insurance negotiated median for the same procedure, sorted lowest first.