CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Bluegrass Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$92
about 2.6× the $35 Medicare rate · typically $30–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$121
Above the fair price
about $29 over the fair price · 3.5× Medicare
Medicare pays $35 Fair price $92 This hospital $121 Cash price $64 Hospital's list price $159

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 $22 Priciest $121

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 (therapeutic activities) is about $92 (about 2.6× the $35 Medicare rate). Bluegrass Community Hospital charges insurers about $121, or about $64 in cash — above the fair price. Located in Versailles, KY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $92. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $107 - $134 305%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 360 Amsden Avenue, Versailles, KY 40383
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals