CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Gabriels Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.6× the $32 Medicare rate · typically $29–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
Below the fair price — a good deal
about $32 under the fair price · 0.6× Medicare
Medicare pays $32 Fair price $50 This hospital $18 Cash price $19 Hospital's list price $32

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Lowest price of the 9 MN hospitals we have prices for — a strong deal.

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 $50 (about 1.6× the $32 Medicare rate). St Gabriels Hospital charges insurers about $18, or about $19 in cash — below the fair price — a good deal. Located in Little Falls, 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

✓ 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 $24 - $26 74%
Blue Cross Blue Shieldmajor $10 - $18 31%
Humanamajor $12 37%
HealthPartners $11 - $19 34%
Medica $11 - $12 34%
Sanford Health Plan $31 96%
UCare $12 - $28 37%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals