CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mercy Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$159
about 5.0× the $32 Medicare rate · typically $43–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
Below the fair price — a good deal
about $43 under the fair price · 3.6× Medicare
Medicare pays $32 Fair price $159 This hospital $116 Cash price $75 Hospital's list price $140

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $31 Priciest $116

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

A fair price for a Occupational therapy (self-care training) is about $159 (about 5.0× the $32 Medicare rate). Mercy Medical Center charges insurers about $116, or about $75 in cash — below the fair price — a good deal. Located in Roseburg, OR.

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 $119 367%
Blue Cross Blue Shieldmajor $109 - $129 336%
Aetnamajor $112 - $126 346%
Cignamajor $105 - $109 324%
Health Net $133 410%
Moda Health $91 - $111 281%
PacificSource $105 324%
+ 2 smaller / regional plans $119 - $134

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2700 Nw Stewart Parkway, Roseburg, OR 97471
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals