CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The Queens Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.3× the $32 Medicare rate · typically $35–$64
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $5 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $40 This hospital $35 Cash price $175 Hospital's list price $250

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 2 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $19 Priciest $38

Black dot = this hospital, among the 9 HI 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 $40 (about 1.3× the $32 Medicare rate). The Queens Medical Center charges insurers about $35, or about $175 in cash — below the fair price — a good deal. Located in Honolulu, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 - $35 105%
Kaiser Permanentemajor $35 - $97 108%
+ 5 smaller / regional plans $30 - $258

Self-Pay How to get the cash price

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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: 1301 Punchbowl St, Honolulu, HI 96813
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals