CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Mary's Healthcare

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $33–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $9 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $42 This hospital $33 Cash price $59 Hospital's list price $85

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $33

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

A fair price for a Occupational therapy (self-care training) is about $42 (about 1.3× the $32 Medicare rate). St Mary's Healthcare charges insurers about $33, or about $59 in cash — below the fair price — a good deal. Located in Amsterdam, NY.

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 $22 68%
Blue Cross Blue Shieldmajor $32 - $63 99%
Aetnamajor $33 - $214 102%
Humanamajor $33 102%
CDPHP $114 352%
+ 3 smaller / regional plans $42 - $64
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals