CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Seneca District Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.5× the $32 Medicare rate · typically $22–$116
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $47 Cash price $60 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
✓ 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 | $28 - $74 | 86% |
| Blue Cross Blue Shieldmajor | $61 - $74 | 188% |
| Aetnamajor | $74 | 228% |
| Cignamajor | $71 | 219% |
| Ambetter (Centene) | $9 | 28% |
| Health Net | $74 | 228% |
| + 8 smaller / regional plans | $8 - $73 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Seneca District 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.