CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Benson Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$196
about 6.1× the $32 Medicare rate · typically $54–$207
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $196 Cash price $35 Hospital's list price $72
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 | $15 - $58 | 46% |
| Blue Cross Blue Shieldmajor | $15 - $202 | 46% |
| Aetnamajor | $15 - $44 | 46% |
| Cignamajor | $42 - $66 | 130% |
| Humanamajor | $15 - $23 | 46% |
| Banner Health | $15 - $23 | 46% |
| + 1 smaller / regional plan | $15 - $23 |
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Other Procedures at Benson Hospital
Compare: Occupational therapy (self-care training) at other AZ hospitals
- Abrazo Scottsdale Campus · Phoenix $17
- Abrazo Arrowhead Hospital · Glendale $17
- Verde Valley Medical Center · Cottonwood $31
- Flagstaff Medical Center · Flagstaff $31
- Valleywise Health Medical Center · Phoenix $32
- Page Hospital · Page $32
- PAM Health Rehabilitation Hospital of Surprise · Surprise $32
- Tucson Medical Center · Tucson $33
Insurance negotiated median for the same procedure, sorted lowest first.