CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Lowell General Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$63
about 2.0× the $32 Medicare rate · typically $36–$106
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $63 Cash price $102 Hospital's list price $145
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 | $119 - $267 | 367% |
| Blue Cross Blue Shieldmajor | $91 - $232 | 281% |
| Aetnamajor | $115 - $133 | 355% |
| Cignamajor | $134 - $142 | 414% |
| AmeriHealth | $51 | 157% |
| AvMed | $51 | 157% |
| GEHA | $51 | 157% |
| Harvard Pilgrim | $237 - $271 | 731% |
| Tufts Health Plan | $80 - $142 | 247% |
| WellSense | $51 | 157% |
| + 102 smaller / regional plans | $51 - $249 |
Government programs also on file: Medicare, Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Lowell General Hospital
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
- Newton-Wellesley Hospital · Newton $35
- Brigham and Women's Hospital · Boston $35
- Brigham and Women Faulkner Hospital · Jamaica Plain $35
Insurance negotiated median for the same procedure, sorted lowest first.