CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Bon Secours Community Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$145
about 4.5× the $32 Medicare rate · typically $40–$219
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $145 Cash price $333 Hospital's list price $333

How we calculate the fair BaseRate →

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 $193 - $244 596%
Blue Cross Blue Shieldmajor $205 - $1,267 633%
Aetnamajor $339 - $377 1046%
Cignamajor $233 719%
CDPHP $166 512%
Geisinger $115 355%
MagnaCare $233 - $413 719%
Molina $36 111%
MVP Health Care $35 - $286 108%
+ 9 smaller / regional plans $35 - $270
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 160 East Main Street, Port Jervis, NY 12771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals