CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: George Washington Univ Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 2.4× the $32 Medicare rate · typically $35–$138
modeled estimate · not a bill or quote
What this hospital charges insurers
$141
Well above the fair price
about $64 over the fair price · 4.4× Medicare
Medicare pays $32 Fair price $77 This hospital $141 Cash price $148 Hospital's list price $370

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 4 DC hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $141

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $77 (about 2.4× the $32 Medicare rate). George Washington Univ Hospital charges insurers about $141, or about $148 in cash — well above the fair price. Located in Washington, DC.

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 $77. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $24 - $118 74%
Aetnamajor $258 796%
Cignamajor $74 - $112 228%
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 900 23Rd St Nw, Washington, DC 20037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals