CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Midwest Surgical Hospital LLC

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.5× the $32 Medicare rate · typically $39–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $6 over the fair price · 1.7× Medicare
Medicare pays $32 Fair price $48 This hospital $54 Cash price $113 Hospital's list price $151

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 $54

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 $48 (about 1.5× the $32 Medicare rate). Midwest Surgical Hospital LLC charges insurers about $54, or about $113 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.

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 $46 142%
Blue Cross Blue Shieldmajor $31 96%
Humanamajor $31 96%
Medica $173 - $204 534%
Molina $32 99%
Oscar Health $214 660%
WellCare $31 96%
+ 2 smaller / regional plans $63 - $230
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 7915 Farnam Drive, Omaha, NE 68114
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals