CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Centrastate 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 $34–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $29 under the fair price · 1.1× Medicare
Medicare pays $32 Fair price $63 This hospital $34 Cash price $266 Hospital's list price $1,919

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 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). Centrastate Medical Center charges insurers about $34, or about $266 in cash — below the fair price — a good deal. Located in Freehold, 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 $36 - $127 111%
Aetnamajor $34 - $107 105%
Cignamajor $34 - $138 105%
Humanamajor $140 432%
Kaiser Permanentemajor $114 352%
Ambetter (Centene) $34 105%
AmeriHealth $35 - $136 108%
GEHA $146 451%
Harvard Pilgrim $146 451%
Health Net $107 - $176 330%
MagnaCare $154 475%
MVP Health Care $125 386%
Oscar Health $140 432%
Tufts Health Plan $125 386%
UPMC Health Plan $34 105%
WellCare $34 105%
+ 79 smaller / regional plans $31 - $207
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: 901 West Main Street, Freehold, NJ 07728
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals