CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Healthalliance Hospital Marys Avenue Campus

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 2.6× the $32 Medicare rate · typically $44–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
Well above the fair price
about $79 over the fair price · 5.1× Medicare
Medicare pays $32 Fair price $84 This hospital $163 Cash price $205 Hospital's list price $205

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 $163

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 $84 (about 2.6× the $32 Medicare rate). Healthalliance Hospital Marys Avenue Campus charges insurers about $163, or about $205 in cash — well above the fair price. Located in Kingston, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $84. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $150 - $176 463%
Blue Cross Blue Shieldmajor $35 - $207 108%
Aetnamajor $35 - $210 108%
CDPHP $274 - $293 846%
MagnaCare $144 - $413 444%
Molina $36 111%
MVP Health Care $35 - $238 108%
+ 13 smaller / regional plans $35 - $270
Government programs also on file: Medicare, Military & VA.
Excludes 4 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.

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Facility Profile & Credentials

  • Address: 105 Mary's Avenue, Kingston, NY 12401
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals