CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Rose Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $36–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $32 Fair price $42 This hospital $43 Cash price $56 Hospital's list price $186

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $12 Priciest $43

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

A fair price for a Occupational therapy (self-care training) is about $42 (about 1.3× the $32 Medicare rate). St Rose Hospital charges insurers about $43, or about $56 in cash — about the fair price. Located in Hayward, CA.

What each insurance company pays

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

6 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 $40 - $149 123%
Blue Cross Blue Shieldmajor $102 - $184 315%
Aetnamajor $38 - $250 117%
Cignamajor $41 - $139 127%
Humanamajor $41 127%
Kaiser Permanentemajor $149 460%
Health Net $38 - $130 117%
+ 4 smaller / regional plans $39 - $77
Government programs also on file: Medicare.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 27200 Calaroga Ave, Hayward, CA 94545
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals