CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Virginia Mason Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 1.5× the $32 Medicare rate · typically $36–$91
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $12 under the fair price · 1.2× Medicare
Medicare pays $32 Fair price $49 This hospital $37 Cash price $73 Hospital's list price $144

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 6 of 8 other WA hospitals charge less.

Cheapest $20 Priciest $39

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

A fair price for a Occupational therapy (self-care training) is about $49 (about 1.5× the $32 Medicare rate). Virginia Mason Medical Center charges insurers about $37, or about $73 in cash — below the fair price — a good deal. Located in Seattle, WA.

What each insurance company pays

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

6 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 $36 - $40 111%
Blue Cross Blue Shieldmajor $31 - $101 96%
Aetnamajor $37 - $1,277 114%
Cignamajor $37 - $129 114%
Humanamajor $36 111%
Kaiser Permanentemajor $36 - $141 111%
+ 3 smaller / regional plans $37 - $351
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 925 Seneca St, Seattle, WA 98101
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals