CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Great Plains Health

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$163
about 5.1× the $32 Medicare rate · typically $78–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $2 under the fair price · 5.0× Medicare
Medicare pays $32 Fair price $163 This hospital $161 Cash price $110 Hospital's list price $183

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 $161

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 $163 (about 5.1× the $32 Medicare rate). Great Plains Health charges insurers about $161, or about $110 in cash — about the fair price. Located in North Platte, NE.

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✓ Aetna CignaHumanaKaiser 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 $174 537%
Blue Cross Blue Shieldmajor $162 500%
Aetnamajor $172 - $174 531%
Ambetter (Centene) $154 475%
GEHA $172 531%
Medica $168 519%
Molina $37 114%
Oscar Health $170 525%
+ 3 smaller / regional plans $34 - $174
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: 601 West Leota St, North Platte, NE 69101
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals