CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Medstar Health Physical Therapy

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $34–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $32 Fair price $36 This hospital $37 Cash price $60 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Lowest price of the 4 DC hospitals we have prices for — a strong deal.

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 $36 (about 1.1× the $32 Medicare rate). Medstar Health Physical Therapy charges insurers about $37, or about $60 in cash — about the fair price. Located in Washington, DC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $36 - $239 111%
Blue Cross Blue Shieldmajor $36 - $64 111%
Aetnamajor $37 - $70 114%
Cignamajor $73 - $84 225%
Humanamajor $37 114%
Kaiser Permanentemajor $37 - $78 114%
+ 2 smaller / regional plans $37 - $41
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL