CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Heywood Hospital -
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$51
about 1.6× the $32 Medicare rate · typically $35–$81
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $51 Cash price $85 Hospital's list price $85
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 | $577 | 1781% |
| Blue Cross Blue Shieldmajor | $92 - $95 | 284% |
| Aetnamajor | $60 | 185% |
| Cignamajor | $216 | 667% |
| Harvard Pilgrim | $190 | 586% |
| Tufts Health Plan | $78 - $80 | 241% |
| + 1 smaller / regional plan | $37 |
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Other Procedures at Heywood 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.