CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: The Miriam Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$66
about 2.1× the $32 Medicare rate · typically $35–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$64
About the fair price
about $2 under the fair price · 2.0× Medicare
Medicare pays $32 Fair price $66 This hospital $64 Cash price $143 Hospital's list price $143

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $34 Priciest $118

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $66 (about 2.1× the $32 Medicare rate). The Miriam Hospital charges insurers about $64, or about $143 in cash — about the fair price. Located in Providence, RI.

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✓ Cigna UnitedHealthcareHumanaKaiser 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 $32 - $75 99%
Aetnamajor $34 105%
Cignamajor $187 577%
Tufts Health Plan $117 361%
+ 1 smaller / regional plan $61

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals