CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Nebraska Orthopaedic Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$62
about 1.9× the $32 Medicare rate · typically $38–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
Below the fair price — a good deal
about $9 under the fair price · 1.7× Medicare
Medicare pays $32 Fair price $62 This hospital $53 Hospital's list price $200

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 $53

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 $62 (about 1.9× the $32 Medicare rate). Nebraska Orthopaedic Hospital charges insurers about $53 — below the fair price — a good deal. 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 $53 - $190 164%
Blue Cross Blue Shieldmajor $53 - $162 164%
Aetnamajor $41 - $83 127%
Humanamajor $160 - $170 494%
Ambetter (Centene) $61 - $100 188%
Amerigroup $9 - $41 28%
WellCare $100 309%
+ 4 smaller / regional plans $42 - $112
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2808 South 143Rd Plaza, Omaha, NE 68144
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals