CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: High Point Regional Health System
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$141
about 4.4× the $32 Medicare rate · typically $42–$233
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $141 Cash price $54 Hospital's list price $107
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $16 - $301 | 49% |
| Blue Cross Blue Shieldmajor | $34 - $54 | 105% |
| Aetnamajor | $32 - $70 | 99% |
| Cignamajor | $59 | 182% |
| Humanamajor | $100 - $102 | 309% |
| Ambetter (Centene) | $34 | 105% |
| AmeriHealth | $16 - $35 | 49% |
| Oscar Health | $32 - $43 | 99% |
| WellCare | $16 | 49% |
| + 7 smaller / regional plans | $16 - $63 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
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Other Procedures at High Point Regional Health System
Compare: Occupational therapy (self-care training) at other NC hospitals
- Carteret General Hospital · Morehead City $23
- Frye Regional Medical Center · Hickory $24
- Memorial Mission Hospital and Asheville Surgery Ce · Asheville $31
- UNC Health Care Wayne · Goldsboro $31
- Ecu Health Medical Center · Greenville $31
- North Carolina Baptist Hospital · Winston-Salem $31
- Columbus Regional Healthcare System · Whiteville $31
- The McDowell Hospital · Marion $31
Insurance negotiated median for the same procedure, sorted lowest first.