CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Bristol Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$55
about 1.7× the $32 Medicare rate · typically $31–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $19 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $55 This hospital $36 Cash price $85 Hospital's list price $155

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 6 of 8 other CT hospitals charge more for the same procedure.

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 $55 (about 1.7× the $32 Medicare rate). Bristol Hospital charges insurers about $36, or about $85 in cash — below the fair price — a good deal. Located in Bristol, CT.

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 - $377 105%
Blue Cross Blue Shieldmajor $34 - $70 105%
Aetnamajor $34 - $271 105%
Cignamajor $281 867%
WellCare $34 - $35 105%
+ 3 smaller / regional plans $34 - $315
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 41 Brewster Rd, Bristol, CT 06010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals