CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: San Gabriel Valley 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 $35–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
Above the fair price
about $7 over the fair price · 1.3× Medicare
Medicare pays $32 Fair price $36 This hospital $43 Cash price $63 Hospital's list price $209

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 $43

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). San Gabriel Valley Medical Center charges insurers about $43, or about $63 in cash — above the fair price. Located in San Gabriel, 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 $36. 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 $35 - $312 108%
Blue Cross Blue Shieldmajor $6 - $438 19%
Aetnamajor $34 - $52 105%
Cignamajor $194 - $223 599%
Humanamajor $35 108%
Health Net $5 - $223 15%
Molina $35 - $87 108%
Presbyterian $5 15%
WellCare $35 108%
+ 31 smaller / regional plans $5 - $223
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (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: 438 W Las Tunas Drive, San Gabriel, CA 91776
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals