CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Pender Memorial Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$76
about 2.4× the $32 Medicare rate · typically $52–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
About the fair price
about $2 under the fair price · 2.3× Medicare
Medicare pays $32 Fair price $76 This hospital $74 Cash price $54 Hospital's list price $119

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $74

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

A fair price for a Occupational therapy (self-care training) is about $76 (about 2.4× the $32 Medicare rate). Pender Memorial Hospital charges insurers about $74, or about $54 in cash — about the fair price. Located in Burgaw, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $87 269%
Blue Cross Blue Shieldmajor $32 - $86 99%
Aetnamajor $33 - $101 102%
Cignamajor $33 - $52 102%
Humanamajor $31 - $102 96%
Ambetter (Centene) $45 139%
AmeriHealth $34 105%
CareSource $48 148%
WellCare $34 105%
+ 7 smaller / regional plans $32 - $115
Excludes 2 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: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals