CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Metropolitan Hospital Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 2.9× the $32 Medicare rate · typically $38–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $1 under the fair price · 2.9× Medicare
Medicare pays $32 Fair price $93 This hospital $92 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 $92

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 $93 (about 2.9× the $32 Medicare rate). Metropolitan Hospital Center charges insurers about $92 — about the fair price. Located in New York, 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 $44 - $504 136%
Blue Cross Blue Shieldmajor $44 - $181 136%
Aetnamajor $21 - $257 65%
Cignamajor $241 744%
Fidelis Care $44 - $98 136%
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: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals