CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Chilton Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 2.0× the $32 Medicare rate · typically $35–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $27 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $63 This hospital $36 Cash price $196 Hospital's list price $1,582

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 4 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $15 Priciest $41

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $63 (about 2.0× the $32 Medicare rate). Chilton Medical Center charges insurers about $36, or about $196 in cash — below the fair price — a good deal. Located in Pompton Plains, NJ.

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 $141 - $146 435%
Blue Cross Blue Shieldmajor $32 - $135 99%
Aetnamajor $36 - $115 111%
Cignamajor $36 - $138 111%
Humanamajor $140 432%
Kaiser Permanentemajor $152 469%
Ambetter (Centene) $36 111%
AmeriHealth $36 - $183 111%
GEHA $146 451%
Harvard Pilgrim $146 451%
Health Net $115 - $235 355%
MagnaCare $154 - $177 475%
MVP Health Care $125 386%
Oscar Health $140 432%
Tufts Health Plan $125 386%
UPMC Health Plan $36 111%
WellCare $36 111%
+ 79 smaller / regional plans $29 - $277
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 97 West Parkway, Pompton Plains, NJ 07444
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals