CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Westchester Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$91
about 2.8× the $32 Medicare rate · typically $36–$205
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $91 Cash price $137 Hospital's list price $356

How we calculate the fair BaseRate →

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 $183 - $274 565%
Blue Cross Blue Shieldmajor $113 - $210 349%
Aetnamajor $338 - $378 1043%
Cignamajor $330 1019%
CDPHP $75 - $82 231%
MagnaCare $311 - $482 960%
MVP Health Care $112 - $131 346%
+ 2 smaller / regional plans $194 - $377

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: 100 Woods Rd, Valhalla, NY 10595
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals