CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Gillette Childrens Specialty Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $29–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $32 Fair price $30 This hospital $29

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

One of the lower prices — 7 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.

A fair price for a Occupational therapy (self-care training) is about $30 (about 0.9× the $32 Medicare rate). Gillette Childrens Specialty Hospital charges insurers about $29 — about the fair price. Located in Saint Paul, 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✓ Aetna CignaHumanaKaiser 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 $30 93%
Blue Cross Blue Shieldmajor $24 - $43 74%
Aetnamajor $32 99%
HealthPartners $27 - $28 83%
Medica $45 139%
UCare $20 62%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 University Avenue East, Saint Paul, MN 55106
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Childrens