CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mercy Hospital of Buffalo

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $31–$43
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $32 Fair price $34 This hospital $35 Cash price $88 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 $35

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 $34 (about 1.1× the $32 Medicare rate). Mercy Hospital of Buffalo charges insurers about $35, or about $88 in cash — about the fair price. Located in Buffalo, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $16 - $37 49%
Blue Cross Blue Shieldmajor $26 - $48 80%
Aetnamajor $32 - $33 99%
Cignamajor $32 - $46 99%
Humanamajor $32 99%
Fidelis Care $28 - $38 86%
Independent Health $22 - $82 68%
MagnaCare $32 99%
MVP Health Care $42 130%
UPMC Health Plan $29 - $57 90%
WellCare $33 - $35 102%
+ 13 smaller / regional plans $27 - $74
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (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.

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals