CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$42
about 1.3× the $32 Medicare rate · typically $31–$88
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $42 Cash price $167 Hospital's list price $167
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 | $75 - $198 | 231% |
| Blue Cross Blue Shieldmajor | $75 - $198 | 231% |
| Aetnamajor | $75 - $198 | 231% |
| Cignamajor | $75 - $198 | 231% |
| Humanamajor | $75 - $198 | 231% |
| Ambetter (Centene) | $75 - $198 | 231% |
| CareSource | $75 - $198 | 231% |
| Devoted Health | $75 - $198 | 231% |
| Medical Mutual | $41 - $198 | 127% |
| Molina | $75 - $198 | 231% |
| UPMC Health Plan | $75 - $198 | 231% |
| + 1 smaller / regional plan | $51 - $135 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health 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.