Occupational therapy (self-care training)
Facility: Prosser Memorial Hospital
Billing Code: 97535 (CPT)
Highest price of the 9 WA hospitals we have prices for — worth calling around.
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 $68 (about 2.1× the $32 Medicare rate). Prosser Memorial Hospital charges insurers about $135, or about $75 in cash — well above the fair price. Located in Prosser, 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 $68. 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.
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 | $29 - $135 | 90% |
| Blue Cross Blue Shieldmajor | $110 - $123 | 340% |
| Aetnamajor | $41 - $116 | 127% |
| Cignamajor | $112 | 346% |
| Humanamajor | $35 - $116 | 108% |
| Kaiser Permanentemajor | $27 - $125 | 83% |
| Ambetter (Centene) | $96 - $105 | 296% |
| Amerigroup | $31 - $59 | 96% |
| Molina | $31 - $55 | 96% |
| WellCare | $34 | 105% |
| + 6 smaller / regional plans | $29 - $123 |
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 Prosser Memorial Hospital
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
- Olympic Medical Center · Port Angeles $33
- Skagit Valley Hospital · Mount Vernon $34
- Virginia Mason Medical Center · Seattle $37
- Deaconess Medical Center · Spokane $39
Insurance negotiated median for the same procedure, sorted lowest first.