CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Seattle Children's Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$52
about 1.6× the $32 Medicare rate · typically $22–$102
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
Below the fair price — a good deal
about $32 under the fair price · 0.6× Medicare
Medicare pays $32 Fair price $52 This hospital $20 Cash price $457 Hospital's list price $457

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Lowest price of the 9 WA hospitals we have prices for — a strong deal.

Cheapest $20 Priciest $39

Black dot = this hospital, among the 9 WA 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 $52 (about 1.6× the $32 Medicare rate). Seattle Children's Hospital charges insurers about $20, or about $457 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 $20 - $629 62%
Blue Cross Blue Shieldmajor $20 - $594 62%
Aetnamajor $167 - $687 515%
Cignamajor $169 - $608 522%
Humanamajor $188 - $680 580%
Kaiser Permanentemajor $20 - $536 62%
Medical Mutual $188 - $680 580%
Moda Health $167 - $680 515%
Molina $20 - $536 62%
PacificSource $190 - $687 586%
Providence Health Plan $169 - $608 522%
SelectHealth $188 - $680 580%
Tufts Health Plan $169 - $608 522%
+ 60 smaller / regional plans $19 - $687
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA 98105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens