CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Valley Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$66
about 2.1× the $32 Medicare rate · typically $39–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
Above the fair price
about $29 over the fair price · 3.0× Medicare
Medicare pays $32 Fair price $66 This hospital $95 Cash price $89 Hospital's list price $127

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 $95

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 $66 (about 2.1× the $32 Medicare rate). Valley Medical Center charges insurers about $95, or about $89 in cash — above the fair price. Located in Renton, WA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $66. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $36 - $95 111%
Blue Cross Blue Shieldmajor $46 - $49 142%
Aetnamajor $86 265%
Health Net $95 293%
Moda Health $95 293%
+ 30 smaller / regional plans $51 - $95

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: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals