CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Mountains Community Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.5× the $32 Medicare rate · typically $22–$104
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $48 Cash price $30 Hospital's list price $75
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $36 - $155 | 111% |
| Aetnamajor | $36 - $52 | 111% |
| Cignamajor | $52 | 160% |
| Kaiser Permanentemajor | $5 - $125 | 15% |
| Health Net | $60 | 185% |
| Molina | $34 | 105% |
| + 1 smaller / regional plan | $56 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mountains Community 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.