CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: PAM Rehabilitation Hospital of Dover

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $31–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $34 This hospital $31 Cash price $106 Hospital's list price $106

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 7 DE hospitals we have prices for — a strong deal.

Cheapest $31 Priciest $65

Black dot = this hospital, among the 7 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $34 (about 1.1× the $32 Medicare rate). PAM Rehabilitation Hospital of Dover charges insurers about $31, or about $106 in cash — about the fair price. Located in Dover, DE.

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 $52 160%
Blue Cross Blue Shieldmajor $31 - $35 96%
Aetnamajor $21 65%
Cignamajor $120 370%
+ 4 smaller / regional plans $31 - $80
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

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Facility Profile & Credentials

  • Address: 1240 McKee Rd, Dover, DE 19904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL