CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Providence St. Joseph Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.2× the $32 Medicare rate · typically $34–$86
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $3 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $39 This hospital $36 Cash price $78 Hospital's list price $163

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 $39 (about 1.2× the $32 Medicare rate). Providence St. Joseph Hospital charges insurers about $36, or about $78 in cash — about the fair price. Located in Orange, CA.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $36 111%
Health Net $67 207%
+ 1 smaller / regional plan $31

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1100 West Stewart Dr, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals