CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Medina Regional Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$88
about 2.8× the $32 Medicare rate · typically $39–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $4 under the fair price · 2.6× Medicare
Medicare pays $32 Fair price $88 This hospital $84 Cash price $125 Hospital's list price $139

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 $84

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 $88 (about 2.8× the $32 Medicare rate). Medina Regional Hospital charges insurers about $84, or about $125 in cash — about the fair price. Located in Hondo, 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 $33 - $130 102%
Blue Cross Blue Shieldmajor $183 565%
Aetnamajor $49 - $84 151%
Cignamajor $56 173%
Amerigroup $37 114%
+ 4 smaller / regional plans $46 - $139
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3100 Avenue E, Hondo, TX 78861
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals