CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Joe Mercy Hospital System Livonia

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 1.0× the $32 Medicare rate · typically $25–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Above the fair price
about $16 over the fair price · 1.5× Medicare
Medicare pays $32 Fair price $33 This hospital $49 Cash price $101 Hospital's list price $155

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $17 Priciest $49

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $33 (about 1.0× the $32 Medicare rate). St Joe Mercy Hospital System Livonia charges insurers about $49, or about $101 in cash — above the fair price. Located in Livonia, MI.

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 $33. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $33 - $99 102%
Blue Cross Blue Shieldmajor $18 - $48 56%
Aetnamajor $32 - $124 99%
Cignamajor $97 - $124 299%
Humanamajor $98 302%
Kaiser Permanentemajor $48 148%
AmeriHealth $98 302%
CareSource $95 293%
Dean Health Plan $99 306%
GEHA $90 - $99 278%
Health Net $155 478%
HealthPartners $95 293%
MagnaCare $98 302%
Medical Mutual $98 302%
Molina $42 130%
MVP Health Care $99 306%
Paramount $99 306%
Priority Health $65 - $72 201%
Tufts Health Plan $95 293%
UniCare $98 302%
+ 135 smaller / regional plans $32 - $155
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 36475 Five Mile Road, Livonia, MI 48154
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals