CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.3× the $32 Medicare rate · typically $34–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $1 over the fair price · 1.3× Medicare
Medicare pays $32 Fair price $40 This hospital $41 Cash price $108 Hospital's list price $180

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 $41

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 $40 (about 1.3× the $32 Medicare rate). Nationwide Children's Hospital Toledo, LLC charges insurers about $41, or about $108 in cash — about the fair price. Located in Toledo, 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 $35 - $91 108%
Blue Cross Blue Shieldmajor $28 - $92 86%
Aetnamajor $48 - $69 148%
Cignamajor $84 259%
Humanamajor $36 111%
AmeriHealth $36 111%
CareSource $31 - $44 96%
Molina $35 - $49 108%
Paramount $31 96%
+ 5 smaller / regional plans $40 - $125
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2213 Cherry Street, Toledo, OH 43608
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens