Occupational therapy (self-care training)
Facility: Gundersen Moundview Hospital and Clinics
Billing Code: 97535 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Occupational therapy (self-care training) is about $67 (about 2.1× the $32 Medicare rate). Gundersen Moundview Hospital and Clinics charges insurers about $135, or about $87 in cash — well above the fair price. Located in Friendship, WI.
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 $67. 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.
4 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 | $160 | 494% |
| Blue Cross Blue Shieldmajor | $78 - $170 | 241% |
| Aetnamajor | $161 | 497% |
| Humanamajor | $144 | 444% |
| Amerigroup | $12 | 37% |
| Dean Health Plan | $134 | 414% |
| HealthPartners | $78 - $149 | 241% |
| Quartz | $92 | 284% |
| Security Health Plan | $78 | 241% |
| UCare | $78 - $135 | 241% |
| + 5 smaller / regional plans | $87 - $173 |
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 Gundersen Moundview Hospital and Clinics
Compare: Occupational therapy (self-care training) at other WI hospitals
- Childrens Hospital of Wisconsin · Milwaukee $23
- Childrens Hospital of Wisconsin Fox Valley · Neenah $23
- SSM Health St Clare Hospital - Baraboo · Baraboo $28
- SSM Health St Mary's Hospital - Madison · Madison $28
- Thedacare Regional Medical Center - Appleton Inc · Appleton $30
- The Monroe Clinic · Monroe $31
- St Nicholas Hospital · Sheboygan $31
- St Josephs Community Hospital West Bend · West Bend $31
Insurance negotiated median for the same procedure, sorted lowest first.