CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Sidney Health Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$51
about 1.6× the $32 Medicare rate · typically $27–$92
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $2 over the fair price · 1.7× Medicare
Medicare pays $32 Fair price $51 This hospital $53 Cash price $49 Hospital's list price $79

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MT hospitals compared.

Cheapest $31 Priciest $81

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

A fair price for a Occupational therapy (self-care training) is about $51 (about 1.6× the $32 Medicare rate). Sidney Health Center charges insurers about $53, or about $49 in cash — about the fair price. Located in Sidney, MT.

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 $30 - $84 93%
Blue Cross Blue Shieldmajor $53 - $88 164%
Aetnamajor $51 - $84 157%
Cignamajor $53 - $84 164%
Sanford Health Plan $57 - $84 176%
+ 4 smaller / regional plans $53 - $85

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 216 14Th Ave Sw, Sidney, MT 59270
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals