CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Loma Linda University Children's Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.5× the $32 Medicare rate · typically $33–$244
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $49 Cash price $130 Hospital's list price $289
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana
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 | $206 - $417 | 636% |
| Blue Cross Blue Shieldmajor | $279 - $457 | 861% |
| Aetnamajor | $190 | 586% |
| Cignamajor | $185 - $214 | 571% |
| Kaiser Permanentemajor | $10 - $193 | 31% |
| Molina | $202 | 623% |
| + 11 smaller / regional plans | $9 - $246 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Loma Linda University Children's Hospital
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.