CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 1.9× the $32 Medicare rate · typically $43–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
About the fair price
about $6 over the fair price · 2.1× Medicare
Medicare pays $32 Fair price $60 This hospital $66 Cash price $82 Hospital's list price $118

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $20 Priciest $66

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 $60 (about 1.9× the $32 Medicare rate). Prov Sacred Hrt Med Ctr & Childs Hosp. charges insurers about $66, or about $82 in cash — about the fair price. Located in Spokane, WA.

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✓ Kaiser Permanente Humana

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 $37 - $123 114%
Blue Cross Blue Shieldmajor $40 - $67 123%
Aetnamajor $38 - $182 117%
Cignamajor $44 136%
Kaiser Permanentemajor $93 287%
Molina $62 191%
Providence Health Plan $94 290%
+ 2 smaller / regional plans $67 - $68

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Facility Profile & Credentials

  • Address: 101 West 8Th Avenue, Spokane, WA 99220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals