CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: St Marys Rehabilitation Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $29–$76
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $34 Cash price $80 Hospital's list price $80
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $69 - $205 | 213% |
| Aetnamajor | $69 - $205 | 213% |
| Cignamajor | $69 - $205 | 213% |
| Humanamajor | $69 - $205 | 213% |
| Ambetter (Centene) | $69 - $205 | 213% |
| + 11 smaller / regional plans | $69 - $205 |
Government programs also on file: Medicare, Medicaid.
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.
Other Procedures at St Marys Rehabilitation Hospital
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.