CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Pawhuska Hospital, Inc

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$56
about 1.8× the $32 Medicare rate · typically $43–$123
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
About the fair price
about $2 under the fair price · 1.7× Medicare
Medicare pays $32 Fair price $56 This hospital $54 Cash price $31 Hospital's list price $54

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $22 Priciest $54

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

A fair price for a Occupational therapy (self-care training) is about $56 (about 1.8× the $32 Medicare rate). Pawhuska Hospital, Inc charges insurers about $54, or about $31 in cash — about the fair price. Located in Pawhuska, OK.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $31 - $263 96%
Blue Cross Blue Shieldmajor $28 - $46 86%
Aetnamajor $31 - $54 96%
Cignamajor $37 114%
Humanamajor $32 - $54 99%
Ambetter (Centene) $47 145%
Healthcare Highways $35 108%
WellCare $31 96%
+ 4 smaller / regional plans $49 - $76
Government programs also on file: Military & VA.
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: 1101 East 15Th Street, Pawhuska, OK 74056
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals