CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Penn Medicine | Good Shepherd Rehabilitation

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 1.3× the $32 Medicare rate · typically $30–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
about $3 under the fair price · 1.3× Medicare
Medicare pays $32 Fair price $43 This hospital $40 Cash price $150 Hospital's list price $179

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 $40

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 $43 (about 1.3× the $32 Medicare rate). Penn Medicine | Good Shepherd Rehabilitation charges insurers about $40, or about $150 in cash — about the fair price. Located in Philadelphia, PA.

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 $49 - $190 151%
Blue Cross Blue Shieldmajor $28 - $206 86%
Aetnamajor $88 272%
Cignamajor $33 - $151 102%
Humanamajor $31 - $34 96%
Clover Health $33 102%
Geisinger $33 - $44 102%
+ 4 smaller / regional plans $33 - $58
Government programs also on file: Medicare.
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

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Facility Profile & Credentials

  • Address: 1800 Lombard St, Fifth Floor, Philadelphia, PA 19146
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL