CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: University Hospitals Rehabilitation Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$39
about 1.2× the $32 Medicare rate · typically $32–$78
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $39 Cash price $86 Hospital's list price $86
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 | $80 - $172 | 247% |
| Blue Cross Blue Shieldmajor | $46 - $172 | 142% |
| Aetnamajor | $80 - $172 | 247% |
| Cignamajor | $80 - $172 | 247% |
| Humanamajor | $80 - $172 | 247% |
| Ambetter (Centene) | $80 - $172 | 247% |
| AmeriHealth | $80 - $172 | 247% |
| CareSource | $80 - $172 | 247% |
| Devoted Health | $80 - $172 | 247% |
| Medical Mutual | $80 - $172 | 247% |
| Molina | $80 - $172 | 247% |
| Paramount | $60 - $172 | 185% |
| WellCare | $80 - $172 | 247% |
| + 13 smaller / regional plans | $31 - $172 |
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
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Other Procedures at University Hospitals Rehabilitation Hospital
Compare: Occupational therapy (self-care training) at other OH hospitals
- Institute for Orthopaedic Surgery · Lima $20
- Highland District Hospital · Hillsboro $20
- University of Toledo Medical Center · Toledo $30
- Fairfield Medical Center · Lancaster $30
- Pomerene Hospital · Millersburg $30
- Licking Memorial Hospital · Newark $30
- University Hospitals Samaritan Medical Center · Ashland $31
- Riverside Methodist Hospital · Columbus $31
Insurance negotiated median for the same procedure, sorted lowest first.