CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: UNM Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$32
about 1.0× the $32 Medicare rate · typically $30–$37
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $32 This hospital $31 Cash price $47 Hospital's list price $85

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 9 NM hospitals we have prices for — a strong deal.

Cheapest $31 Priciest $43

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

A fair price for a Occupational therapy (self-care training) is about $32 (about 1.0× the $32 Medicare rate). UNM Hospital charges insurers about $31, or about $47 in cash — about the fair price. Located in Albuquerque, NM.

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✓ Humana CignaKaiser 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 $31 96%
Blue Cross Blue Shieldmajor $31 96%
Aetnamajor $31 96%
Humanamajor $28 86%
Devoted Health $37 114%
Molina $76 235%
Presbyterian $62 191%
+ 10 smaller / regional plans $31 - $76

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals