CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Holyoke Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.2× the $32 Medicare rate · typically $36–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $2 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $38 This hospital $36 Cash price $75 Hospital's list price $94

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.

A fair price for a Occupational therapy (self-care training) is about $38 (about 1.2× the $32 Medicare rate). Holyoke Medical Center charges insurers about $36, or about $75 in cash — about the fair price. Located in Holyoke, 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 $33 - $207 102%
Blue Cross Blue Shieldmajor $33 102%
Aetnamajor $33 - $94 102%
Cignamajor $170 525%
Harvard Pilgrim $94 290%
Tufts Health Plan $33 - $65 102%
UniCare $59 182%
WellCare $36 111%
WellSense $35 - $45 108%
+ 4 smaller / regional plans $33 - $149

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: 575 Beech Street, Holyoke, MA 01040
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals