CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Orchard Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$39
about 1.2× the $32 Medicare rate · typically $15–$105
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $39 Cash price $64 Hospital's list price $106
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $96 - $100 | 296% |
| Blue Cross Blue Shieldmajor | $8 - $308 | 25% |
| Aetnamajor | $73 - $76 | 225% |
| Cignamajor | $73 - $76 | 225% |
| + 1 smaller / regional plan | $8 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Orchard 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.