CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: AHMC Seton Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $36–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $2 under the fair price · 1.3× Medicare
Medicare pays $32 Fair price $42 This hospital $40 Cash price $234 Hospital's list price $293

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 $40

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 $42 (about 1.3× the $32 Medicare rate). AHMC Seton Medical Center charges insurers about $40, or about $234 in cash — about the fair price. Located in Daly City, CA.

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 $41 - $796 127%
Blue Cross Blue Shieldmajor $6 - $223 19%
Aetnamajor $40 - $197 123%
Cignamajor $205 633%
Humanamajor $40 123%
Kaiser Permanentemajor $5 - $240 15%
Health Net $40 - $225 123%
+ 28 smaller / regional plans $5 - $293
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals