CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Genesis Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $30–$41
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $32 Fair price $30 This hospital $31 Hospital's list price $23,638

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $31

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $30 (about 0.9× the $32 Medicare rate). Genesis Hospital charges insurers about $31 — about the fair price. Located in Zanesville, OH.

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 $31 - $13,386 96%
Blue Cross Blue Shieldmajor $31 - $42,099 96%
Aetnamajor $31 - $13,386 96%
Cignamajor $62 - $48,573 191%
Humanamajor $31 - $13,386 96%
CareSource $31 - $13,386 96%
HealthPartners $62 - $48,573 191%
Medical Mutual $94 290%
Molina $32 - $12,590 99%
UniCare $31 96%
UPMC Health Plan $119 367%
WellCare $31 - $13,386 96%
+ 94 smaller / regional plans $31 - $48,573
Government programs also on file: Medicare, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2951 Maple Avenue, Zanesville, OH 43701
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals