CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.6× the $32 Medicare rate · typically $26–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
About the fair price
about $1 under the fair price · 1.6× Medicare
Medicare pays $32 Fair price $52 This hospital $51 Cash price $68 Hospital's list price $104

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 $51

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 $52 (about 1.6× the $32 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $51, or about $68 in cash — about the fair price. Located in Ontario, OR.

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 - $100 96%
Blue Cross Blue Shieldmajor $31 - $88 96%
Aetnamajor $31 - $98 96%
Cignamajor $31 - $98 96%
Humanamajor $31 - $92 96%
Ambetter (Centene) $31 96%
Dean Health Plan $94 290%
GEHA $98 - $100 302%
Health Net $31 - $87 96%
HealthPartners $31 - $81 96%
Meridian $31 96%
Moda Health $60 - $101 185%
Molina $31 96%
PacificSource $62 191%
Paramount $31 - $94 96%
Presbyterian $31 96%
Priority Health $98 302%
SelectHealth $61 - $94 188%
Tufts Health Plan $31 96%
WellSense $31 96%
+ 93 smaller / regional plans $31 - $99
Government programs also on file: Medicare, Medicaid.
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: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals