CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Sharp Coronado Hospital and Hlthcr Ctr
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $27–$63
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $36 Cash price $134 Hospital's list price $179
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 | $90 - $125 | 278% |
| Blue Cross Blue Shieldmajor | $25 - $143 | 77% |
| Aetnamajor | $100 - $134 | 309% |
| Cignamajor | $101 - $161 | 312% |
| Humanamajor | $114 | 352% |
| Kaiser Permanentemajor | $7 - $107 | 22% |
| Health Net | $10 - $138 | 31% |
| Molina | $27 - $175 | 83% |
| + 7 smaller / regional plans | $27 - $161 |
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sharp Coronado Hospital and Hlthcr Ctr
Compare: Occupational therapy (self-care training) at other CA hospitals
- Children's Hosp of Los Angeles · Los Angeles $12
- Fresno Surgical Hospital · Fresno $15
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $23
- Kern Medical Center · Bakersfield $32
- Modoc Medical Center · Alturas $32
- Providence Queen of the Valley Medical Center · Napa $34
- Riverside Community Hospital · Riverside $34
- Oak Valley Hospital District · Oakdale $34
Insurance negotiated median for the same procedure, sorted lowest first.