CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Samaritan Hospital of Troy, New York
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$60
about 1.9× the $32 Medicare rate · typically $32–$117
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $60 Cash price $70 Hospital's list price $108
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 | $23 - $383 | 71% |
| Blue Cross Blue Shieldmajor | $31 - $297 | 96% |
| Aetnamajor | $33 - $230 | 102% |
| Cignamajor | $269 | 830% |
| Fidelis Care | $57 | 176% |
| GEHA | $230 | 710% |
| Harvard Pilgrim | $383 | 1182% |
| HealthPartners | $269 | 830% |
| Independent Health | $92 | 284% |
| MagnaCare | $92 | 284% |
| Medical Mutual | $230 | 710% |
| MVP Health Care | $158 - $170 | 488% |
| Priority Health | $269 | 830% |
| Tufts Health Plan | $269 | 830% |
| UniCare | $123 | 380% |
| + 22 smaller / regional plans | $32 - $316 |
Government programs also on file: Medicare, Medicaid.
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.
Enter your details and press estimate to compare.
Other Procedures at Samaritan Hospital of Troy, New York
Compare: Occupational therapy (self-care training) at other NY hospitals
- Maimonides Medical Center · Brooklyn $29
- Crouse Hospital · Syracuse $30
- F F Thompson Hospital · Canandaigua $31
- Jones Memorial Hospital · Wellsville $31
- Oswego Hospital · Oswego $31
- Nicholas H Noyes Memorial Hospital · Dansville $31
- Geneva General Hospital · Geneva $32
- Bertrand Chaffee Hospital · Springville $32
Insurance negotiated median for the same procedure, sorted lowest first.