CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.8× the $32 Medicare rate · typically $31–$187
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $58 Cash price $70 Hospital's list price $116
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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $278 - $301 | 858% |
| Blue Cross Blue Shieldmajor | $28 - $37 | 86% |
| Oscar Health | $43 | 133% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Genesis Hlth System DBA Genesis Mdl Ctr-Illini
Compare: Occupational therapy (self-care training) at other IL hospitals
- Ferrell Hospital Community Foundations · Eldorado $22
- Carle Eureka Hospital · Eureka $25
- Carle Hoopeston Regional Health Center · Hoopeston $25
- Alton Memorial Hospital · Alton $31
- OSF Saint Katharine Medical Center · Dixon $31
- Carle Health Proctor Hospital · Peoria $31
- St Anthonys Memorial Hospital · Effingham $31
- West Suburban Medical Center · Oak Park $31
Insurance negotiated median for the same procedure, sorted lowest first.