CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Carlsbad Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.3× the $32 Medicare rate · typically $35–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
1.3× Medicare
Medicare pays $32 Fair price $43 This hospital $43 Cash price $63 Hospital's list price $417

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

Cheapest $31 Priciest $43

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

A fair price for a Occupational therapy (self-care training) is about $43 (about 1.3× the $32 Medicare rate). Carlsbad Medical Center charges insurers about $43, or about $63 in cash — about the fair price. Located in Carlsbad, NM.

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 $32 - $276 99%
Blue Cross Blue Shieldmajor $31 - $376 96%
Aetnamajor $350 1080%
Cignamajor $289 - $349 892%
Devoted Health $32 99%
Molina $31 - $85 96%
Presbyterian $31 - $301 96%
+ 9 smaller / regional plans $32 - $388
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2430 West Pierce Street, Carlsbad, NM 88220
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals