CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$64
about 2.0× the $32 Medicare rate · typically $34–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $29 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $64 This hospital $35 Cash price $86 Hospital's list price $86

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 4 charge more and 4 charge less, among the 9 ND hospitals compared.

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 $64 (about 2.0× the $32 Medicare rate). PAM Rehabilitation Hospital of Fargo charges insurers about $35, or about $86 in cash — below the fair price — a good deal. Located in Fargo, ND.

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 $95 293%
Blue Cross Blue Shieldmajor $24 - $35 74%
Aetnamajor $35 108%
Cignamajor $34 - $124 105%
Medica $12 - $49 37%
Sanford Health Plan $26 - $53 80%
UCare $24 74%
+ 5 smaller / regional plans $24 - $86
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL