CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Tomah Memorial Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.5× the $32 Medicare rate · typically $32–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$48
About the fair price
1.5× Medicare
Medicare pays $32 Fair price $48 This hospital $48 Cash price $74 Hospital's list price $129

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $48

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 $48 (about 1.5× the $32 Medicare rate). Tomah Memorial Hospital charges insurers about $48, or about $74 in cash — about the fair price. Located in Tomah, WI.

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✓ 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 $35 - $200 108%
Blue Cross Blue Shieldmajor $35 - $196 108%
Aetnamajor $66 - $181 204%
Cignamajor $78 - $206 241%
Humanamajor $35 - $197 108%
Quartz $35 - $191 108%
+ 8 smaller / regional plans $35 - $198
Government programs also on file: Military & VA.

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: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals