CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Norton-King's Daughters' Health

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$30
about 0.9× the $32 Medicare rate · typically $30–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $32 Fair price $30 This hospital $31 Cash price $16 Hospital's list price $74

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $25 Priciest $31

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

A fair price for a Occupational therapy (self-care training) is about $30 (about 0.9× the $32 Medicare rate). Norton-King's Daughters' Health charges insurers about $31, or about $16 in cash — about the fair price. Located in Madison, IN.

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 $31 - $60 96%
Blue Cross Blue Shieldmajor $20 - $57 62%
Aetnamajor $20 - $67 62%
Cignamajor $61 - $65 188%
Humanamajor $20 - $31 62%
CareSource $43 - $46 133%
Health Net $68 - $72 210%
HealthLink $65 - $68 201%
Molina $20 62%
+ 8 smaller / regional plans $20 - $72
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: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals