CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Lukes Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.1× the $32 Medicare rate · typically $23–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Above the fair price
about $19 over the fair price · 1.7× Medicare
Medicare pays $32 Fair price $35 This hospital $54 Cash price $277 Hospital's list price $334

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $21 Priciest $54

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (self-care training) is about $35 (about 1.1× the $32 Medicare rate). St Lukes Hospital charges insurers about $54, or about $277 in cash — above the fair price. Located in Bethlehem, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $35. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $97 299%
Blue Cross Blue Shieldmajor $32 - $2,663 99%
Aetnamajor $22 - $117 68%
Cignamajor $91 281%
Geisinger $94 290%
Oscar Health $87 269%
UPMC Health Plan $91 - $92 281%

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.

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Facility Profile & Credentials

  • Address: 801 Ostrum Street, Bethlehem, PA 18015
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals