CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $35–$52
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
1.1× Medicare
Medicare pays $32 Fair price $36 This hospital $36 Cash price $220 Hospital's list price $220

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $33 Priciest $36

Black dot = this hospital, among the 9 MA 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 $36 (about 1.1× the $32 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $36, or about $220 in cash — about the fair price. Located in Leominster, MA.

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 $35 - $225 108%
Blue Cross Blue Shieldmajor $35 - $249 108%
Aetnamajor $35 - $147 108%
Cignamajor $33 - $96 102%
Harvard Pilgrim $36 - $222 111%
Tufts Health Plan $33 - $87 102%
+ 12 smaller / regional plans $33 - $294
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 60 Hospital Road, Leominster, MA 01453
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals