Occupational therapy (self-care training)
Facility: Cambridge Health Alliance
Billing Code: 97535 (CPT)
This hospital's typical commercial price is $110 compared to the $62 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.77× fair market pricing.
Highest price of the 9 MA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.
Note: 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 $62 (about 1.9× 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 $62. 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
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 |
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.
Other Procedures at Cambridge Health Alliance
Compare: Occupational therapy (self-care training) at other MA hospitals
- North Adams Regional Hospital Corporation · North Adams $33
- Spaulding Rehabilitation Hospital Cape Cod · East Sandwich $33
- Berkshire Medical Center · Pittsfield $34
- Milford Regional Medical Center · Milford $34
- UMass Memorial Health - Harrington Hospital · Southbridge $35
- Holyoke Medical Center · Holyoke $35
- Newton-Wellesley Hospital · Newton $35
- Brigham and Women's Hospital · Boston $35
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Cambridge Health Alliance (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $138
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $138).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Cambridge Health Alliance's published 45 CFR § 180 self-pay cash rate is $380 (vs. $110 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $62 Fair BaseRate ($32 Medicare)
Your bill ($380) is $318 above the denoised Fair BaseRate ($62) and 11.9× the $32 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.