CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Lake Cumberland Regional Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 2.9× the $32 Medicare rate · typically $32–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $11 over the fair price · 3.3× Medicare
Medicare pays $32 Fair price $93 This hospital $104 Cash price $85 Hospital's list price $211

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 $104

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 $93 (about 2.9× the $32 Medicare rate). Lake Cumberland Regional Hospital charges insurers about $104, or about $85 in cash — about the fair price. Located in Somerset, KY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $83 - $125 256%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 305 Langdon Street, Somerset, KY 42503
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals