CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Chelsea Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$45

about 1.4× the $32 Medicare rate · typically $25–$59

modeled estimate · not a bill or quote

What this hospital charges insurers

$45

About the fair price

1.4× Medicare

Medicare pays $32 Fair price $45 This hospital $45 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 $45

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 $45 (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

✓ 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 - $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

Government programs also on file: Medicare, Medicaid.

Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 101), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 97535.

Insurance Before you use insurance

Call your insurance company to confirm Chelsea Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 97535.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Chelsea Hospital

Compare: Occupational therapy (self-care training) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.