CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Summerlin Hospital Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $30–$49
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $32 Fair price $30 This hospital $32 Cash price $162 Hospital's list price $405

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

One of the lower prices — 0 of 8 other NV hospitals charge more for the same procedure.

Cheapest $31 Priciest $32

Black dot = this hospital, among the 9 NV 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 $30 (about 0.9× the $32 Medicare rate). Summerlin Hospital Medical Center charges insurers about $32, or about $162 in cash — about the fair price. Located in Las Vegas, NV.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $31 96%
Aetnamajor $113 - $335 349%
Cignamajor $80 - $153 247%
Humanamajor $33 102%
Molina $32 99%
+ 5 smaller / regional plans $31 - $156
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: 657 Town Center Drive, Las Vegas, NV 89144
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals