CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Hackensack University Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$70
about 2.2× the $32 Medicare rate · typically $35–$162
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Below the fair price — a good deal
about $16 under the fair price · 1.7× Medicare
Medicare pays $32 Fair price $70 This hospital $54 Cash price $41 Hospital's list price $275

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $15 Priciest $54

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $70 (about 2.2× the $32 Medicare rate). Hackensack University Medical Center charges insurers about $54, or about $41 in cash — below the fair price — a good deal. Located in Hackensack, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $406 102%
Blue Cross Blue Shieldmajor $41 127%
Aetnamajor $41 - $395 127%
Cignamajor $220 - $238 679%
Amerigroup $41 127%
AmeriHealth $275 849%
Clover Health $50 154%
WellCare $41 127%
+ 10 smaller / regional plans $41 - $346
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 30 Prospect Ave, Hackensack, NJ 07601
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals