CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Berkshire Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $33–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
1.1× Medicare
Medicare pays $32 Fair price $34 This hospital $34 Cash price $90 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

One of the lower prices — 5 of 8 other MA hospitals charge more for the same procedure.

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 $34 (about 1.1× the $32 Medicare rate). Berkshire Medical Center charges insurers about $34, or about $90 in cash — about the fair price. Located in Pittsfield, 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 - $82 102%
Blue Cross Blue Shieldmajor $35 - $81 108%
Aetnamajor $39 - $72 120%
Cignamajor $86 - $89 265%
CDPHP $25 - $86 77%
MVP Health Care $86 265%
Tufts Health Plan $28 - $54 86%
UniCare $62 - $74 191%
+ 14 smaller / regional plans $25 - $90
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 725 North Street, Pittsfield, MA 01201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals