CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Scripps Green Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $31–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
1.1× Medicare
Medicare pays $32 Fair price $36 This hospital $36 Cash price $24 Hospital's list price $97

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 $36

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). Scripps Green Hospital charges insurers about $36, or about $24 in cash — about the fair price. Located in La Jolla, 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 $33 - $50 102%
Blue Cross Blue Shieldmajor $19 - $36 59%
Aetnamajor $36 - $50 111%
Cignamajor $19 - $39 59%
Humanamajor $36 111%
Kaiser Permanentemajor $36 - $54 111%
Health Net $19 - $90 59%
HealthPartners $21 - $36 65%
+ 41 smaller / regional plans $8 - $80
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10666 North Torrey Pines Road, La Jolla, CA 92037
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals