CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Madison Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$29
about 0.9× the $32 Medicare rate · typically $26–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
About the fair price
about $1 over the fair price · 0.9× Medicare
Medicare pays $32 Fair price $29 This hospital $30 Cash price $115 Hospital's list price $135

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 5 of 8 other MN hospitals charge more for the same procedure.

Cheapest $18 Priciest $32

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $29 (about 0.9× the $32 Medicare rate). Madison Hospital charges insurers about $30, or about $115 in cash — about the fair price. Located in Madison, 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✓ Humana CignaKaiser 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 $25 - $2,713 77%
Blue Cross Blue Shieldmajor $25 - $2,713 77%
Aetnamajor $39 - $124 120%
Humanamajor $33 - $128 102%
HealthPartners $25 - $128 77%
Medica $25 - $115 77%
Sanford Health Plan $124 383%
+ 1 smaller / regional plan $27 - $77
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals