CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Atlantic Rehabilitation Institute, LLC
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$49
about 1.5× the $32 Medicare rate · typically $31–$91
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $49 Cash price $140 Hospital's list price $140
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 | $78 - $350 | 241% |
| Blue Cross Blue Shieldmajor | $78 - $350 | 241% |
| Aetnamajor | $78 - $350 | 241% |
| Cignamajor | $78 - $350 | 241% |
| Ambetter (Centene) | $78 - $350 | 241% |
| AmeriHealth | $78 - $350 | 241% |
| Oscar Health | $78 - $350 | 241% |
| UPMC Health Plan | $78 - $350 | 241% |
| WellCare | $78 - $350 | 241% |
| + 11 smaller / regional plans | $78 - $350 |
Government programs also on file: Medicaid.
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Other Procedures at Atlantic Rehabilitation Institute, LLC
Compare: Occupational therapy (self-care training) at other NJ hospitals
- The University Hospital · Newark $15
- Centrastate Medical Center · Freehold $34
- Chilton Medical Center · Pompton Plains $36
- Carewell Health Medical Center · East Orange $36
- AHS Hospital Corp · Hackettstown $36
- St Joseph's University Medical Center Inc · Paterson $37
- Inspira Medical Center Vineland · Vineland $37
- Inspira Medical Center Mullica Hill · Elmer $37
Insurance negotiated median for the same procedure, sorted lowest first.