CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Paradise Valley Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.1× the $32 Medicare rate · typically $31–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $32 Fair price $35 This hospital $36 Cash price $36 Hospital's list price $218

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 $36

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 $35 (about 1.1× the $32 Medicare rate). Paradise Valley Hospital charges insurers about $36, or about $36 in cash — about the fair price. Located in National City, CA.

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $5 - $36 15%
Blue Cross Blue Shieldmajor $36 111%
Aetnamajor $5 - $46 15%
Health Net $6 - $53 19%
Molina $5 - $36 15%
+ 20 smaller / regional plans $5 - $61
Government programs also on file: Medicare, Medicaid, Military & VA.
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

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Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals