CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Garrison Memorial Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 3.0× the $32 Medicare rate · typically $40–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
Above the fair price
about $15 over the fair price · 3.5× Medicare
Medicare pays $32 Fair price $96 This hospital $111 Cash price $88 Hospital's list price $130

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 7 of 8 other ND hospitals charge less.

Cheapest $32 Priciest $112

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

A fair price for a Occupational therapy (self-care training) is about $96 (about 3.0× the $32 Medicare rate). Garrison Memorial Hospital charges insurers about $111, or about $88 in cash — above the fair price. Located in Garrison, ND.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $96. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $65 - $96 201%
Blue Cross Blue Shieldmajor $66 - $113 204%
Humanamajor $65 201%
HealthPartners $110 340%
Medica $65 - $113 201%
Sanford Health Plan $124 383%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 407 3Rd Ave Se, Garrison, ND 58540
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals