CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: El Centro Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.4× the $32 Medicare rate · typically $38–$112
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
Well above the fair price
about $55 over the fair price · 3.2× Medicare
Medicare pays $32 Fair price $46 This hospital $101 Cash price $125 Hospital's list price $179

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 $101

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 $46 (about 1.4× the $32 Medicare rate). El Centro Regional Medical Center charges insurers about $101, or about $125 in cash — well above the fair price. Located in El Centro, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $46. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $34 - $100 105%
Blue Cross Blue Shieldmajor $34 - $338 105%
Aetnamajor $70 - $88 216%
Cignamajor $118 - $149 364%
Humanamajor $147 - $185 454%
Ambetter (Centene) $163 - $205 503%
Health Net $34 - $179 105%
Molina $34 - $219 105%
+ 9 smaller / regional plans $34 - $199
Government programs also on file: 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

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.

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Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals