CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Ellis Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$45
about 1.4× the $32 Medicare rate · typically $34–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$42
About the fair price
about $3 under the fair price · 1.3× Medicare
Medicare pays $32 Fair price $45 This hospital $42 Cash price $60 Hospital's list price $121

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 $42

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 $45 (about 1.4× the $32 Medicare rate). Ellis Hospital charges insurers about $42, or about $60 in cash — about the fair price. Located in Schenectady, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $81 - $112 250%
Blue Cross Blue Shieldmajor $33 102%
Aetnamajor $84 - $119 259%
CDPHP $50 154%
MVP Health Care $110 340%
+ 6 smaller / regional plans $16 - $165
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1101 Nott Street, Schenectady, NY 12308
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals