Occupational therapy (self-care training)
Facility: UPMC Pinnacle Hospitals
Billing Code: 97535 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA 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). UPMC Pinnacle Hospitals charges insurers about $84, or about $97 in cash — well above the fair price. Located in Harrisburg, 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 $40. 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.
3 of 6 major insurers have a published price at this hospital
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 | $27 | 83% |
| Blue Cross Blue Shieldmajor | $32 - $308 | 99% |
| Aetnamajor | $41 - $119 | 127% |
| Geisinger | $89 | 275% |
| UPMC Health Plan | $45 - $85 | 139% |
| + 4 smaller / regional plans | $32 - $308 |
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.
Other Procedures at UPMC Pinnacle Hospitals
Compare: Occupational therapy (self-care training) at other PA hospitals
- Jefferson Abington Hospital · Abington $21
- St Luke's Hospital - Easton Campus · Easton $22
- Geisinger St. Luke's Hospital · Orwigsburg $22
- Rothman Orthopaedic Specialty Hospital · Bensalem $23
- Magee Memorial Hospital for Convalescents · Philadelphia $29
- Chan Soon- Shiong Medical Center at Windber · Windber $30
- Allegheny Valley Hospital · Natrona $31
- Heritage Valley Beaver · Beaver $31
Insurance negotiated median for the same procedure, sorted lowest first.