CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: John Heinz Institute of Rehabilitation Medicine

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 1.2× the $32 Medicare rate · typically $30–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
Below the fair price — a good deal
about $7 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $38 This hospital $31 Hospital's list price $121

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 $31

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 $38 (about 1.2× the $32 Medicare rate). John Heinz Institute of Rehabilitation Medicine charges insurers about $31 — below the fair price — a good deal. Located in Wilkes Barre, PA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $35 - $53 108%
Aetnamajor $31 - $33 96%
Humanamajor $31 96%
AmeriHealth $31 96%
Priority Health $67 207%
UPMC Health Plan $31 - $36 96%
+ 2 smaller / regional plans $31 - $35

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 150 Mundy St, Wilkes Barre, PA 18702
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL