CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Charles Medical Center Prineville

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 2.0× the $32 Medicare rate · typically $45–$69
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
About the fair price
2.0× Medicare
Medicare pays $32 Fair price $65 This hospital $65 Cash price $113 Hospital's list price $141

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 $65

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 $65 (about 2.0× the $32 Medicare rate). St Charles Medical Center Prineville charges insurers about $65, or about $113 in cash — about the fair price. Located in Prineville, OR.

What each insurance company pays

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

6 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 $37 - $148 114%
Blue Cross Blue Shieldmajor $41 - $119 127%
Aetnamajor $37 - $139 114%
Cignamajor $37 - $101 114%
Humanamajor $37 - $45 114%
Kaiser Permanentemajor $37 - $139 114%
Devoted Health $37 - $45 114%
Health Net $37 - $150 114%
Moda Health $65 - $121 201%
PacificSource $27 - $88 83%
Providence Health Plan $65 - $140 201%
UniCare $37 - $45 114%
WellCare $37 - $45 114%
+ 66 smaller / regional plans $37 - $157
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: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals