CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Astria Toppenish Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.0× the $32 Medicare rate · typically $33–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
1.0× Medicare
Medicare pays $32 Fair price $33 This hospital $33 Cash price $98 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 WA hospitals compared.

Cheapest $20 Priciest $39

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

A fair price for a Occupational therapy (self-care training) is about $33 (about 1.0× the $32 Medicare rate). Astria Toppenish Hospital charges insurers about $33, or about $98 in cash — about the fair price. Located in Toppenish, WA.

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 $19 - $133 59%
Blue Cross Blue Shieldmajor $37 - $61 114%
Aetnamajor $33 - $142 102%
Cignamajor $33 102%
Humanamajor $33 - $161 102%
Kaiser Permanentemajor $130 401%
Ambetter (Centene) $19 59%
Molina $20 - $25 62%
+ 6 smaller / regional plans $34 - $161
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals