CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.5× the $32 Medicare rate · typically $26–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $4 under the fair price · 1.3× Medicare
Medicare pays $32 Fair price $47 This hospital $43 Cash price $119 Hospital's list price $119

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 $43

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 $47 (about 1.5× the $32 Medicare rate). The University of Vermont Health Network-Alice Hy charges insurers about $43, or about $119 in cash — about the fair price. Located in Malone, 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 $38 - $484 117%
Blue Cross Blue Shieldmajor $33 - $107 102%
Aetnamajor $38 - $102 117%
Humanamajor $38 117%
Fidelis Care $38 - $97 117%
MagnaCare $95 293%
MVP Health Care $38 - $99 117%
+ 4 smaller / regional plans $38 - $112
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 133 Park Street, Po Box 729, Malone, NY 12953
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals