CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Hospital for Special Care
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.8× the $32 Medicare rate · typically $32–$112
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $56 Cash price $119 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.
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 | $134 | 414% |
| Blue Cross Blue Shieldmajor | $84 - $116 | 259% |
| Aetnamajor | $49 - $161 | 151% |
| Cignamajor | $107 | 330% |
| + 2 smaller / regional plans | $86 - $145 |
Self-Pay How to get the cash price
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Other Procedures at Hospital for Special Care
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.