CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Saratoga Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.8× the $32 Medicare rate · typically $32–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
About the fair price
about $3 under the fair price · 1.7× Medicare
Medicare pays $32 Fair price $58 This hospital $55 Cash price $44 Hospital's list price $88

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 $55

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 $58 (about 1.8× the $32 Medicare rate). Saratoga Hospital charges insurers about $55, or about $44 in cash — about the fair price. Located in Saratoga Springs, 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 $43 - $79 133%
Blue Cross Blue Shieldmajor $42 - $256 130%
Aetnamajor $15 - $206 46%
CDPHP $41 - $97 127%
Fidelis Care $41 - $97 127%
MagnaCare $79 - $84 244%
MVP Health Care $43 - $215 133%
+ 3 smaller / regional plans $41 - $101
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: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals