CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$41
about 1.3× the $32 Medicare rate · typically $30–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $3 under the fair price · 1.2× Medicare
Medicare pays $32 Fair price $41 This hospital $38 Cash price $390 Hospital's list price $390

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 $38

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 $41 (about 1.3× the $32 Medicare rate). Shriners Hospitals for Children - Philadelphia charges insurers about $38, or about $390 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 $167 - $180 515%
Blue Cross Blue Shieldmajor $20 - $80 62%
Aetnamajor $33 - $47 102%
Cignamajor $130 401%
Humanamajor $12 37%
Ambetter (Centene) $12 - $38 37%
AmeriHealth $38 117%
Providence Health Plan $139 429%
+ 1 smaller / regional plan $47
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens