CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saint James Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $32 Medicare rate · typically $31–$34
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $32 This hospital $31 Cash price $140 Hospital's list price $175

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 0 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $22 Priciest $31

Black dot = this hospital, among the 9 IL 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 $32 (about 1.0× the $32 Medicare rate). Saint James Hospital charges insurers about $31, or about $140 in cash — about the fair price. Located in Pontiac, IL.

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $32 99%
Aetnamajor $31 96%
+ 1 smaller / regional plan $31

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2500 West Reynolds Street, Pontiac, IL 61764
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals