CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: PAM Rehabilitation Hospital of Allen

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$62
about 1.9× the $32 Medicare rate · typically $29–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$70
About the fair price
about $8 over the fair price · 2.2× Medicare
Medicare pays $32 Fair price $62 This hospital $70 Cash price $114 Hospital's list price $114

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $70

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $62 (about 1.9× the $32 Medicare rate). PAM Rehabilitation Hospital of Allen charges insurers about $70, or about $114 in cash — about the fair price. Located in Allen, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $22 - $23 68%
Cignamajor $70 - $115 216%
Ambetter (Centene) $95 293%
Healthcare Highways $61 - $64 188%
+ 8 smaller / regional plans $25 - $104
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Raintree Circle, Allen, TX 75013
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL