CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: St Elizabeth Edgewood

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$36
about 1.1× the $32 Medicare rate · typically $32–$53
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $4 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $36 This hospital $32 Cash price $90 Hospital's list price $90

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $15 Priciest $32

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

A fair price for a Occupational therapy (self-care training) is about $36 (about 1.1× the $32 Medicare rate). St Elizabeth Edgewood charges insurers about $32, or about $90 in cash — below the fair price — a good deal. Located in Edgewood, KY.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 96%
Blue Cross Blue Shieldmajor $28 - $30 86%
Ambetter (Centene) $61 188%
Devoted Health $32 99%
WellCare $33 102%
+ 1 smaller / regional plan $68 - $75

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Medical Village Drive, Edgewood, KY 41017
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals