CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Palmdale Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$35
about 1.1× the $32 Medicare rate · typically $30–$103
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $35 Cash price $172 Hospital's list price $431

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor $80 - $163 247%
Aetnamajor $122 - $135 377%
Cignamajor $147 - $162 454%
Kaiser Permanentemajor $72 - $79 222%
Health Net $25 - $138 77%
Molina $7 22%
+ 2 smaller / regional plans $5 - $294
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

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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: 38600 Medical Center Drive, Palmdale, CA 93552
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals