CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Caldwell Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$44
about 1.4× the $32 Medicare rate · typically $26–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
About the fair price
about $1 over the fair price · 1.4× Medicare
Medicare pays $32 Fair price $44 This hospital $45 Cash price $94 Hospital's list price $126

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 $45

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 $44 (about 1.4× the $32 Medicare rate). Caldwell Medical Center charges insurers about $45, or about $94 in cash — about the fair price. Located in Princeton, KY.

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 $28 - $100 86%
Blue Cross Blue Shieldmajor $30 - $91 93%
Aetnamajor $27 - $50 83%
Cignamajor $71 - $117 219%
Humanamajor $27 - $50 83%
Molina $30 - $50 93%
WellCare $41 - $68 127%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 100 Medical Center Drive, Princeton, KY 42445
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals