CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Cambridge Health Alliance

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$57
about 1.8× the $32 Medicare rate · typically $35–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$110
Well above the fair price
about $53 over the fair price · 3.4× Medicare
Medicare pays $32 Fair price $57 This hospital $110 Cash price $380 Hospital's list price $380

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 $110

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 $57 (about 1.8× the $32 Medicare rate). Cambridge Health Alliance charges insurers about $110, or about $380 in cash — well above the fair price. Located in Cambridge, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $57. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $188 - $312 580%
Blue Cross Blue Shieldmajor $59 - $380 182%
Aetnamajor $323 - $380 997%
Cignamajor $104 - $380 321%
Humanamajor $380 1173%
Medical Mutual $380 1173%
Tufts Health Plan $62 - $120 191%
+ 32 smaller / regional plans $188 - $380
Government programs also on file: Medicare, Military & VA.
Excludes 2 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.

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Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals