CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: St Vincent's Medical Center
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.9× the $32 Medicare rate · typically $31–$196
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $62 Cash price $137 Hospital's list price $137
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 - $250 | 105% |
| Blue Cross Blue Shieldmajor | $34 - $229 | 105% |
| Aetnamajor | $34 - $210 | 105% |
| Cignamajor | $245 | 756% |
| Molina | $34 - $225 | 105% |
| Tufts Health Plan | $34 | 105% |
| WellCare | $34 | 105% |
| + 1 smaller / regional plan | $34 |
Self-Pay How to get the cash price
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Other Procedures at St Vincent's Medical Center
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.