CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Henry Ford Health Warren Hospital

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
$35
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $32 Fair price $33 This hospital $35 Cash price $55 Hospital's list price $98

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 $35

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). Henry Ford Health Warren Hospital charges insurers about $35, or about $55 in cash — about the fair price. Located in Warren, MI.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $42 130%
Aetnamajor $31 96%
Humanamajor $31 96%
Ambetter (Centene) $38 117%
AmeriHealth $30 93%
Molina $32 - $38 99%
WellCare $32 99%
+ 7 smaller / regional plans $31 - $58
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals