CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: NYU Langone Hospitals

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$108
about 3.4× the $32 Medicare rate · typically $35–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
About the fair price
about $15 over the fair price · 3.8× Medicare
Medicare pays $32 Fair price $108 This hospital $123 Cash price $80 Hospital's list price $420

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 $123

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 $108 (about 3.4× the $32 Medicare rate). NYU Langone Hospitals charges insurers about $123, or about $80 in cash — 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 $73 - $381 225%
Blue Cross Blue Shieldmajor $236 - $294 728%
Aetnamajor $313 - $420 966%
Cignamajor $393 1213%
Fidelis Care $33 - $263 102%
MagnaCare $370 - $596 1142%
Oscar Health $239 738%
WellCare $36 - $37 111%
+ 10 smaller / regional plans $33 - $360
Government programs also on file: Medicare, Medicaid.
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: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals