CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Gaylord Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$52
about 1.6× the $32 Medicare rate · typically $32–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $18 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $52 This hospital $34 Cash price $80 Hospital's list price $124

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 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 $52 (about 1.6× the $32 Medicare rate). Gaylord Hospital charges insurers about $34, or about $80 in cash — below the fair price — a good deal. Located in Wallingford, 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 - $160 105%
Blue Cross Blue Shieldmajor $34 - $134 105%
Aetnamajor $34 - $268 105%
Cignamajor $97 - $129 299%
Harvard Pilgrim $102 - $108 315%
+ 2 smaller / regional plans $34 - $220
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: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL