CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Breckinridge Memorial Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $25–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$22
Below the fair price — a good deal
about $26 under the fair price · 0.6× Medicare
Medicare pays $35 Fair price $48 This hospital $22 Cash price $75 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $22 Priciest $32

Black dot = this hospital, among the 9 KY 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 (therapeutic activities) is about $48 (about 1.4× the $35 Medicare rate). Breckinridge Memorial Hospital charges insurers about $22, or about $75 in cash — below the fair price — a good deal. Located in Hardinsburg, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $54 - $128 154%
Blue Cross Blue Shieldmajor $22 - $150 63%
Aetnamajor $22 - $112 63%
Humanamajor $112 319%
Ambetter (Centene) $59 168%
CareSource $54 154%
Molina $52 148%
WellCare $22 - $54 63%
+ 2 smaller / regional plans $52 - $54
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1011 Old Highway 60, Hardinsburg, KY 40143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals