CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mary Bridge Children's Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$58
about 1.8× the $32 Medicare rate · typically $31–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
About the fair price
about $1 over the fair price · 1.8× Medicare
Medicare pays $32 Fair price $58 This hospital $59 Cash price $57 Hospital's list price $143

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 $59

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 $58 (about 1.8× the $32 Medicare rate). Mary Bridge Children's Hospital charges insurers about $59, or about $57 in cash — about the fair price. Located in Tacoma, 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 $21 - $37 65%
Blue Cross Blue Shieldmajor $21 - $108 65%
Aetnamajor $105 324%
Cignamajor $116 - $119 358%
Kaiser Permanentemajor $325 1003%
Ambetter (Centene) $68 210%
Molina $19 59%
PacificSource $60 - $61 185%
+ 4 smaller / regional plans $21 - $111
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 317 Martin Luther King Jr W Box 5299, Tacoma, WA 98415
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens