CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Boston Medical Center-Brighton

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $35–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $32 Fair price $42 This hospital $38 Cash price $62 Hospital's list price $137

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 $38

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 $42 (about 1.3× the $32 Medicare rate). Boston Medical Center-Brighton charges insurers about $38, or about $62 in cash — about the fair price. Located in Brighton, MA.

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 $36 111%
Blue Cross Blue Shieldmajor $36 - $210 111%
Aetnamajor $36 - $100 111%
Cignamajor $66 - $114 204%
Humanamajor $36 111%
Harvard Pilgrim $259 799%
Tufts Health Plan $101 - $114 312%
UniCare $52 160%
+ 13 smaller / regional plans $36 - $475
Government programs also on file: Medicare, Military & VA.

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: 736 Cambridge Street, Nevins Building, Brighton, MA 02135
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals