CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.1× the $32 Medicare rate · typically $23–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
Below the fair price — a good deal
about $12 under the fair price · 0.7× Medicare
Medicare pays $32 Fair price $35 This hospital $23

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Lowest price of the 9 WI hospitals we have prices for — a strong deal.

Cheapest $23 Priciest $31

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 $35 (about 1.1× the $32 Medicare rate). Childrens Hospital of Wisconsin Fox Valley charges insurers about $23 — below the fair price — a good deal. Located in Neenah, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $21 65%
Blue Cross Blue Shieldmajor $24 74%
Molina $23 71%
+ 4 smaller / regional plans $21 - $26

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens