CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Penn Presbyterian Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$46
about 1.4× the $32 Medicare rate · typically $34–$64
modeled estimate · not a bill or quote
What this hospital charges insurers
$59
Above the fair price
about $13 over the fair price · 1.8× Medicare
Medicare pays $32 Fair price $46 This hospital $59 Cash price $462 Hospital's list price $462

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 $59

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 $46 (about 1.4× the $32 Medicare rate). Penn Presbyterian Medical Center charges insurers about $59, or about $462 in cash — above the fair price. Located in Philadelphia, 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 $46. 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.

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 - $462 108%
Blue Cross Blue Shieldmajor $33 - $462 102%
Aetnamajor $35 - $462 108%
Cignamajor $34 - $146 105%
Humanamajor $34 - $370 105%
Clover Health $36 111%
Geisinger $34 - $106 105%
Health Net $277 855%
HealthPartners $22 - $462 68%
Oscar Health $57 176%
UPMC Health Plan $33 - $462 102%
+ 37 smaller / regional plans $33 - $462
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 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: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals