CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Massachusetts General Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$72
about 2.3× the $32 Medicare rate · typically $36–$85
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $72 Cash price $184 Hospital's list price $245
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 - $200 | 108% |
| Aetnamajor | $137 - $197 | 423% |
| Cignamajor | $131 - $309 | 404% |
| + 3 smaller / regional plans | $76 - $200 |
Government programs also on file: Military & VA.
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Other Procedures at Massachusetts 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.