CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Trinity Health Oakland Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 1.0× the $32 Medicare rate · typically $24–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$80
Well above the fair price
about $49 over the fair price · 2.5× Medicare
Medicare pays $32 Fair price $31 This hospital $80 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 $80

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 $31 (about 1.0× the $32 Medicare rate). Trinity Health Oakland Hospital charges insurers about $80 — well above the fair price. Located in Pontiac, 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 $31. 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 - $17,995 102%
Blue Cross Blue Shieldmajor $18 - $17,121 56%
Aetnamajor $32 - $17,121 99%
Cignamajor $115 355%
Humanamajor $114 352%
Kaiser Permanentemajor $55 170%
AmeriHealth $114 352%
CareSource $80 247%
Dean Health Plan $105 324%
GEHA $97 - $116 299%
Health Net $155 478%
HealthPartners $113 349%
MagnaCare $114 352%
Medical Mutual $97 299%
Molina $42 - $22,712 130%
MVP Health Care $105 324%
Paramount $105 324%
Priority Health $61 - $68 188%
Tufts Health Plan $113 349%
UniCare $114 352%
+ 136 smaller / regional plans $32 - $40,307
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.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals