CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Stephens Memorial Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$80
about 2.5× the $32 Medicare rate · typically $30–$124
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $80 Cash price $69 Hospital's list price $98
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 | $26 - $205 | 80% |
| Blue Cross Blue Shieldmajor | $57 - $219 | 176% |
| Aetnamajor | $62 - $219 | 191% |
| Cignamajor | $52 - $194 | 160% |
| Humanamajor | $28 - $98 | 86% |
| + 1 smaller / regional plan | $108 |
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Other Procedures at Stephens Memorial Hospital
Compare: Occupational therapy (self-care training) at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $21
- PAM Specialty Hospital of Texarkana North · Texarkana $21
- Parkland Health & Hospital System · Dallas $22
- Coryell Memorial Hospital · Gatesville $25
- Winkler County Memorial Hospital · Kermit $27
- Childrens Medical Ctr of Dallas · Dallas $28
- Childrens Medical Center Plano · Plano $28
- PAM Health Rehabilitation Hospital of El Paso · El Paso $29
Insurance negotiated median for the same procedure, sorted lowest first.