Occupational therapy (self-care training)
Facility: Chelsea Hospital
Billing Code: 97535 (CPT)
This hospital's typical commercial price is $45 compared to the $44 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Highest price of the 9 MI hospitals we have prices for — worth calling around.
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 $44 (about 1.4× the $32 Medicare rate). Chelsea Hospital charges insurers about $45, or about $101 in cash — about the fair price. Located in Chelsea, MI.
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
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 - $104 | 102% |
| Blue Cross Blue Shieldmajor | $18 - $58 | 56% |
| Aetnamajor | $32 - $106 | 99% |
| Cignamajor | $109 | 336% |
| Humanamajor | $103 | 318% |
| Kaiser Permanentemajor | $58 | 179% |
| AmeriHealth | $103 | 318% |
| CareSource | $87 | 269% |
| Dean Health Plan | $116 | 358% |
| GEHA | $85 - $104 | 262% |
| Health Net | $155 | 478% |
| HealthPartners | $120 | 370% |
| MagnaCare | $103 | 318% |
| Medical Mutual | $103 | 318% |
| Molina | $42 | 130% |
| MVP Health Care | $116 | 358% |
| Paramount | $116 | 358% |
| Priority Health | $68 - $76 | 210% |
| Tufts Health Plan | $120 | 370% |
| UniCare | $103 | 318% |
| + 124 smaller / regional plans | $32 - $155 |
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.
Other Procedures at Chelsea Hospital
Compare: Occupational therapy (self-care training) at other MI hospitals
- Beacon Plainwell · Plainwell $18
- Huron Valley-Sinai Hospital · Commerce Township $21
- Harper University Hospital · Detroit $22
- Promedica Monroe Regional Hospital · Monroe $30
- Lake Huron Medical Center · Port Huron $31
- Munson Healthcare Grayling Hospital · Grayling $31
- Covenant Medical Center · Saginaw $31
- Munson Healthcare Cadillac Hospital · Cadillac $31
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Chelsea Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $56
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $56).
Self-Pay Cash Rate ($101) Beats Your Bill
Chelsea Hospital's published 45 CFR § 180 self-pay cash rate is $101 (vs. $45 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $44 Fair BaseRate ($32 Medicare)
Your bill ($155) is $111 above the denoised Fair BaseRate ($44) and 4.8× the $32 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.