CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mount Sinai Rehabilitation Hospital Inc

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$61
about 1.9× the $32 Medicare rate · typically $32–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$164
Well above the fair price
about $103 over the fair price · 5.1× Medicare
Medicare pays $32 Fair price $61 This hospital $164 Cash price $166 Hospital's list price $302

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 $164

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 $61 (about 1.9× the $32 Medicare rate). Mount Sinai Rehabilitation Hospital Inc charges insurers about $164, or about $166 in cash — well above the fair price. Located in Hartford, 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 $61. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 - $224 105%
Blue Cross Blue Shieldmajor $34 - $164 105%
Aetnamajor $34 - $299 105%
Cignamajor $35 - $137 108%
Kaiser Permanentemajor $164 506%
Dean Health Plan $205 633%
GEHA $224 691%
Harvard Pilgrim $224 691%
HealthPartners $137 423%
MagnaCare $137 423%
MVP Health Care $205 633%
Paramount $205 633%
UniCare $164 506%
+ 31 smaller / regional plans $34 - $402
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 490 Blue Hills Ave, Hartford, CT 06112
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL