CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Midstate Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$64
about 2.0× the $32 Medicare rate · typically $31–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Above the fair price
about $33 over the fair price · 3.0× Medicare
Medicare pays $32 Fair price $64 This hospital $97 Cash price $137 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $97

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $64 (about 2.0× the $32 Medicare rate). Midstate Medical Center charges insurers about $97, or about $137 in cash — above the fair price. Located in Meriden, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $64. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $34 105%
Blue Cross Blue Shieldmajor $34 - $212 105%
Aetnamajor $34 - $210 105%
Cignamajor $226 698%
Molina $34 - $233 105%
Tufts Health Plan $34 105%
WellCare $34 105%
+ 1 smaller / regional plan $34

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.

Facility Profile & Credentials

  • Address: 435 Lewis Avenue, Meriden, CT 06450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals