CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Hospital for Special Surgery
Billing Code: 97535 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$74
about 2.3× the $32 Medicare rate · typically $30–$260
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $74 Cash price $221 Hospital's list price $221
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 | $77 - $275 | 238% |
| Blue Cross Blue Shieldmajor | $10 - $203 | 31% |
| Aetnamajor | $184 - $204 | 568% |
| Cignamajor | $185 | 571% |
| Fidelis Care | $221 | 682% |
| GEHA | $241 | 744% |
| Harvard Pilgrim | $213 - $275 | 657% |
| Molina | $77 - $169 | 238% |
| + 9 smaller / regional plans | $77 - $241 |
Government programs also on file: Medicare.
Excludes 2 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.
Enter your details and press estimate to compare.
Other Procedures at Hospital for Special Surgery
Compare: Occupational therapy (self-care training) at other NY hospitals
- Maimonides Medical Center · Brooklyn $29
- Crouse Hospital · Syracuse $30
- F F Thompson Hospital · Canandaigua $31
- Jones Memorial Hospital · Wellsville $31
- Oswego Hospital · Oswego $31
- Nicholas H Noyes Memorial Hospital · Dansville $31
- Geneva General Hospital · Geneva $32
- Bertrand Chaffee Hospital · Springville $32
Insurance negotiated median for the same procedure, sorted lowest first.