CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Gila Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.4× the $32 Medicare rate · typically $35–$114
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $8 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $44 This hospital $36 Cash price $106 Hospital's list price $133

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NM hospitals compared.

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 $44 (about 1.4× the $32 Medicare rate). Gila Regional Medical Center charges insurers about $36, or about $106 in cash — below the fair price — a good deal. Located in Silver City, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $90 278%
Blue Cross Blue Shieldmajor $36 111%
Presbyterian $36 - $104 111%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1313 E 32Nd St, Silver City, NM 88061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals