CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Westfield Memorial Hospital Inc

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.2× the $32 Medicare rate · typically $31–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $5 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $37 This hospital $32

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 $32

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 $37 (about 1.2× the $32 Medicare rate). Westfield Memorial Hospital Inc charges insurers about $32 — below the fair price — a good deal. Located in Westfield, 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 $32 - $52 99%
Blue Cross Blue Shieldmajor $22 - $73 68%
Aetnamajor $32 - $59 99%
Cignamajor $52 160%
Humanamajor $33 102%
AmeriHealth $32 99%
Molina $34 105%
+ 4 smaller / regional plans $27 - $36
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)