CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Othello Community Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$54
about 1.7× the $32 Medicare rate · typically $28–$83
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $54 Cash price $116 Hospital's list price $155
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 | $66 - $155 | 204% |
| Blue Cross Blue Shieldmajor | $130 | 401% |
| Aetnamajor | $146 | 451% |
| Cignamajor | $138 | 426% |
| Humanamajor | $155 | 478% |
| Kaiser Permanentemajor | $66 | 204% |
| Ambetter (Centene) | $66 - $67 | 204% |
| Amerigroup | $66 | 204% |
| Molina | $66 - $155 | 204% |
| WellCare | $155 | 478% |
| + 13 smaller / regional plans | $66 - $155 |
Government programs also on file: Medicare, Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Othello Community 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.