CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The Children's Hospital of Alabama

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 3.4× the $32 Medicare rate · typically $42–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $10 under the fair price · 3.1× Medicare
Medicare pays $32 Fair price $110 This hospital $100 Cash price $43 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

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

Cheapest $15 Priciest $100

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $110 (about 3.4× the $32 Medicare rate). The Children's Hospital of Alabama charges insurers about $100, or about $43 in cash — about the fair price. Located in Birmingham, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $60 - $78 185%
Aetnamajor $85 262%
Cignamajor $81 - $100 250%
+ 3 smaller / regional plans $68 - $90

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1600 Seventh Avenue South, Birmingham, AL 35233
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens