CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Tri-City Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $31–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
1.1× Medicare
Medicare pays $32 Fair price $36 This hospital $36 Cash price $61 Hospital's list price $101

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 $36 (about 1.1× the $32 Medicare rate). Tri-City Medical Center charges insurers about $36, or about $61 in cash — about the fair price. Located in Oceanside, CA.

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✓ Kaiser Permanente Humana

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 $27 - $259 83%
Blue Cross Blue Shieldmajor $39 - $82 120%
Aetnamajor $13 - $96 40%
Cignamajor $48 - $109 148%
Kaiser Permanentemajor $23 - $48 71%
Health Net $5 - $107 15%
Molina $20 - $41 62%
Providence Health Plan $20 - $41 62%
+ 3 smaller / regional plans $16 - $83
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4002 Vista Way, Oceanside, CA 92056
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals