CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: UMass Memorial Health - Harrington Hospital

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–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $36 This hospital $35 Cash price $174 Hospital's list price $174

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 1 charge more and 4 charge less, among the 9 MA hospitals compared.

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 Health - Harrington Hospital charges insurers about $35, or about $174 in cash — about the fair price. Located in Southbridge, 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 - $206 108%
Blue Cross Blue Shieldmajor $35 - $243 108%
Aetnamajor $35 - $206 108%
Cignamajor $26 - $146 80%
Harvard Pilgrim $202 - $242 623%
Tufts Health Plan $33 - $146 102%
WellSense $142 - $206 438%
+ 13 smaller / regional plans $33 - $681
Government programs also on file: Medicaid, 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

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Facility Profile & Credentials

  • Address: 100 South Street, Southbridge, MA 01550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals