CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Community Memorial Hospital, Inc

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 1.2× the $32 Medicare rate · typically $34–$119
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $32 Fair price $38 This hospital $39 Cash price $70 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 $39

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 $38 (about 1.2× the $32 Medicare rate). Community Memorial Hospital, Inc charges insurers about $39, or about $70 in cash — about the fair price. Located in Hamilton, NY.

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✓ Humana CignaKaiser 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 $39 120%
Blue Cross Blue Shieldmajor $39 - $50 120%
Aetnamajor $43 133%
Humanamajor $37 - $39 114%
+ 1 smaller / regional plan $39
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals