CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Jacobi Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$97
about 3.0× the $32 Medicare rate · typically $39–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $9 over the fair price · 3.3× Medicare
Medicare pays $32 Fair price $97 This hospital $106 Hospital's list price $227

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 $106

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 $97 (about 3.0× the $32 Medicare rate). Jacobi Medical Center charges insurers about $106 — about the fair price. Located in Bronx, 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✓ 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 $71 - $504 219%
Blue Cross Blue Shieldmajor $71 - $181 219%
Aetnamajor $21 - $257 65%
Cignamajor $241 744%
Fidelis Care $53 - $159 164%
MagnaCare $170 - $320 525%
Oscar Health $251 - $614 775%
WellCare $40 123%
+ 13 smaller / regional plans $29 - $410
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: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals