CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: San Antonio Regional Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.7× the $32 Medicare rate · typically $34–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
About the fair price
about $4 over the fair price · 1.8× Medicare
Medicare pays $32 Fair price $53 This hospital $57 Cash price $249 Hospital's list price $490

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 $57

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $53 (about 1.7× the $32 Medicare rate). San Antonio Regional Hospital charges insurers about $57, or about $249 in cash — about the fair price. Located in Upland, 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 $186 - $270 574%
Blue Cross Blue Shieldmajor $9 - $360 28%
Aetnamajor $46 - $490 142%
Cignamajor $599 1849%
Humanamajor $34 105%
Kaiser Permanentemajor $96 296%
Ambetter (Centene) $89 275%
Health Net $34 - $82 105%
Molina $34 - $45 105%
Oscar Health $710 2191%
WellCare $480 1481%
+ 33 smaller / regional plans $8 - $900
Government programs also on file: Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 999 San Bernardino Road, Upland, CA 91786
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals