CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Beth Israel Deaconess Hospital - Milton

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 2.0× the $32 Medicare rate · typically $36–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
Above the fair price
about $11 over the fair price · 2.4× Medicare
Medicare pays $32 Fair price $65 This hospital $76 Cash price $107 Hospital's list price $107

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 $76

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 $65 (about 2.0× the $32 Medicare rate). Beth Israel Deaconess Hospital - Milton charges insurers about $76, or about $107 in cash — above the fair price. Located in Milton, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $65. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $76 235%
Harvard Pilgrim $76 235%
UniCare $55 170%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 199 Reedsdale Road, Milton, MA 02186
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals