CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Southcoast Hospitals Group

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 1.2× the $32 Medicare rate · typically $37–$61
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
About the fair price
about $1 under the fair price · 1.2× Medicare
Medicare pays $32 Fair price $38 This hospital $37 Cash price $63 Hospital's list price $126

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 $37

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). Southcoast Hospitals Group charges insurers about $37, or about $63 in cash — about the fair price. Located in Fall River, 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 $36 - $183 111%
Blue Cross Blue Shieldmajor $36 - $204 111%
Aetnamajor $36 - $96 111%
Cignamajor $83 256%
Harvard Pilgrim $236 728%
Priority Health $76 235%
Tufts Health Plan $36 - $412 111%
WellSense $27 - $36 83%
+ 8 smaller / regional plans $36 - $76
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 363 Highland Avenue, Fall River, MA 02720
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals