CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Alhambra Hospital Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.2× the $32 Medicare rate · typically $35–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Above the fair price
about $7 over the fair price · 1.4× Medicare
Medicare pays $32 Fair price $37 This hospital $44 Cash price $195 Hospital's list price $195

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 $44

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 $37 (about 1.2× the $32 Medicare rate). Alhambra Hospital Medical Center charges insurers about $44, or about $195 in cash — above the fair price. Located in Alhambra, 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 $37. 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.

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 $36 - $263 111%
Blue Cross Blue Shieldmajor $6 - $389 19%
Aetnamajor $33 - $36 102%
Cignamajor $339 - $527 1046%
Humanamajor $36 111%
Kaiser Permanentemajor $118 - $137 364%
Health Net $35 - $44 108%
HealthPartners $5 15%
Molina $44 - $86 136%
WellCare $36 - $77 111%
+ 14 smaller / regional plans $5 - $143
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 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: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals