CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Johnson Memorial Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.8× the $32 Medicare rate · typically $31–$162
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $58 Cash price $65 Hospital's list price $119
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 | $34 - $369 | 105% |
| Blue Cross Blue Shieldmajor | $34 - $131 | 105% |
| Aetnamajor | $34 - $98 | 105% |
| Cignamajor | $35 - $115 | 108% |
| Kaiser Permanentemajor | $131 | 404% |
| Dean Health Plan | $97 - $105 | 299% |
| GEHA | $369 | 1139% |
| Harvard Pilgrim | $369 | 1139% |
| HealthPartners | $107 - $115 | 330% |
| MagnaCare | $107 - $115 | 330% |
| MVP Health Care | $97 - $105 | 299% |
| Paramount | $97 - $105 | 299% |
| UniCare | $131 | 404% |
| + 33 smaller / regional plans | $34 - $314 |
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Johnson Memorial Hospital
Compare: Occupational therapy (self-care training) at other CT hospitals
- The Connecticut Hospice Inc. · Branford $20
- Gaylord Hospital · Wallingford $34
- Bristol Hospital · Bristol $36
- St Francis Hospital & Medical Center · Hartford $37
- Saint Mary's Hospital · Waterbury $39
- John Dempsey Hospital of the University of Connect · Farmington $63
- Windham Community Memorial Hospital · Willimantic $89
- Connecticut Childrens Medical Center · Hartford $94
Insurance negotiated median for the same procedure, sorted lowest first.