CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The Nebraska Methodist Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 1.9× the $32 Medicare rate · typically $42–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
About the fair price
about $2 over the fair price · 1.9× Medicare
Medicare pays $32 Fair price $60 This hospital $62 Cash price $40 Hospital's list price $110

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $29 Priciest $62

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

A fair price for a Occupational therapy (self-care training) is about $60 (about 1.9× the $32 Medicare rate). The Nebraska Methodist Hospital charges insurers about $62, or about $40 in cash — about the fair price. Located in Omaha, NE.

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✓ Humana CignaKaiser 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 - $322 93%
Blue Cross Blue Shieldmajor $30 - $166 93%
Aetnamajor $30 - $104 93%
Humanamajor $30 93%
Ambetter (Centene) $63 194%
Medica $30 - $208 93%
+ 2 smaller / regional plans $49 - $72
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 8303 Dodge St, Omaha, NE 68114
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals