CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Phoenix Children's Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$124
about 3.9× the $32 Medicare rate · typically $28–$363
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $124 Hospital's list price $189
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $503 - $637 | 1552% |
| Blue Cross Blue Shieldmajor | $157 - $212 | 485% |
| Aetnamajor | $87 - $139 | 269% |
| Cignamajor | $132 - $473 | 407% |
| + 3 smaller / regional plans | $76 - $123 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's 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.