CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Charles Madras

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 2.0× the $32 Medicare rate · typically $44–$70
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 Madras charges insurers about $65, or about $113 in cash — about the fair price. Located in Madras, 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 $32 - $148 99%
Blue Cross Blue Shieldmajor $35 - $119 108%
Aetnamajor $32 - $139 99%
Cignamajor $32 - $101 99%
Humanamajor $32 - $38 99%
Kaiser Permanentemajor $32 - $139 99%
Devoted Health $32 - $38 99%
Health Net $32 - $150 99%
Moda Health $65 - $121 201%
PacificSource $27 - $88 83%
Providence Health Plan $65 - $140 201%
UniCare $32 - $38 99%
WellCare $32 - $38 99%
+ 66 smaller / regional plans $32 - $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: 470 Ne A Street, Madras, OR 97741
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals