CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 2.7× the $32 Medicare rate · typically $36–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
Above the fair price
about $48 over the fair price · 4.2× Medicare
Medicare pays $32 Fair price $87 This hospital $135 Cash price $395 Hospital's list price $395

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 $135

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 $87 (about 2.7× the $32 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $135, or about $395 in cash — above the fair price. Located in Boston, 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 $87. 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.

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 $167 - $180 515%
Aetnamajor $36 111%
Cignamajor $130 401%
Providence Health Plan $139 429%
Tufts Health Plan $817 2522%
+ 2 smaller / regional plans $36 - $51

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 51 Blossom Street, Boston, MA 02114
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens