CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Adventist Health Clearlake
Billing Code: 97535 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$169
about 5.3× the $32 Medicare rate · typically $44–$400
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $169 Cash price $153 Hospital's list price $426
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 | $98 - $355 | 302% |
| Blue Cross Blue Shieldmajor | $89 - $543 | 275% |
| Aetnamajor | $318 | 981% |
| Cignamajor | $383 | 1182% |
| Humanamajor | $362 | 1117% |
| Kaiser Permanentemajor | $89 - $383 | 275% |
| Health Net | $349 | 1077% |
| + 6 smaller / regional plans | $8 - $703 |
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Clearlake
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.