CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Fort Duncan Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 2.8× the $32 Medicare rate · typically $31–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
About the fair price
about $10 over the fair price · 3.2× Medicare
Medicare pays $32 Fair price $91 This hospital $101 Cash price $120 Hospital's list price $301

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $21 Priciest $101

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

A fair price for a Occupational therapy (self-care training) is about $91 (about 2.8× the $32 Medicare rate). Fort Duncan Medical Center charges insurers about $101, or about $120 in cash — about the fair price. Located in Eagle Pass, TX.

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 $40 - $199 123%
Blue Cross Blue Shieldmajor $92 - $112 284%
Aetnamajor $202 - $384 623%
Cignamajor $160 - $304 494%
Molina $40 - $77 123%
+ 3 smaller / regional plans $40 - $209
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals