CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Golden Plains Community Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$72
about 2.3× the $32 Medicare rate · typically $54–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $1 over the fair price · 2.3× Medicare
Medicare pays $32 Fair price $72 This hospital $73 Cash price $107 Hospital's list price $153

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 $73

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 $72 (about 2.3× the $32 Medicare rate). Golden Plains Community Hospital charges insurers about $73, or about $107 in cash — about the fair price. Located in Borger, TX.

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 $35 - $200 108%
Blue Cross Blue Shieldmajor $67 - $104 207%
Aetnamajor $35 - $99 108%
Cignamajor $28 86%
Humanamajor $35 108%
WellMed $35 108%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 100 Medical Drive, Borger, TX 79007
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals