Occupational therapy (self-care training)
Facility: Peacehealth St John Medical Center
Billing Code: 97535 (CPT)
This hospital's typical commercial price is $35 compared to the $36 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.97× fair market pricing.
On the higher side — 7 of 8 other WA hospitals charge less.
Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Occupational therapy (self-care training) is about $36 (about 1.1× the $32 Medicare rate). Peacehealth St John Medical Center charges insurers about $35, or about $116 in cash — about the fair price. Located in Longview, 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
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 - $238 | 108% |
| Blue Cross Blue Shieldmajor | $34 - $192 | 105% |
| Aetnamajor | $37 | 114% |
| Cignamajor | $117 | 361% |
| Humanamajor | $37 | 114% |
| Kaiser Permanentemajor | $35 | 108% |
| Devoted Health | $35 | 108% |
| Health Net | $37 | 114% |
| Moda Health | $33 | 102% |
| Molina | $13 - $36 | 40% |
| WellCare | $37 | 114% |
| + 2 smaller / regional plans | $26 - $35 |
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.
Other Procedures at Peacehealth St John Medical Center
Compare: Occupational therapy (self-care training) at other WA hospitals
- Seattle Children's Hospital · Seattle $20
- Island Hospital · Anacortes $24
- Trios Health · Kennewick $25
- Astria Toppenish Hospital · Toppenish $33
- Skagit Valley Hospital · Mount Vernon $34
- Deaconess Medical Center · Spokane $34
- Multicare Valley Hospital · Spokane Valley $34
- Olympic Medical Center · Port Angeles $36
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Peacehealth St John Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $65
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $65).
Self-Pay Cash Rate ($116) Beats Your Bill
Peacehealth St John Medical Center's published 45 CFR § 180 self-pay cash rate is $116 (vs. $35 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $36 Fair BaseRate ($32 Medicare)
Your bill ($179) is $143 above the denoised Fair BaseRate ($36) and 5.6× the $32 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.