CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Bellevue Hospital Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 3.0× the $32 Medicare rate · typically $39–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
Below the fair price — a good deal
about $31 under the fair price · 2.0× Medicare
Medicare pays $32 Fair price $95 This hospital $64 Cash price $41 Hospital's list price $158

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 $64

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 $95 (about 3.0× the $32 Medicare rate). Bellevue Hospital Center charges insurers about $64, or about $41 in cash — below the fair price — a good deal. 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 $64 - $504 198%
Blue Cross Blue Shieldmajor $36 - $181 111%
Aetnamajor $21 - $257 65%
Cignamajor $241 744%
Fidelis Care $36 - $144 111%
MagnaCare $170 - $320 525%
Oscar Health $45 - $614 139%
WellCare $37 - $44 114%
+ 15 smaller / regional plans $18 - $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: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals