CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: CHI Saint Joseph Berea Nf

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 2.7× the $32 Medicare rate · typically $52–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$89
About the fair price
about $3 over the fair price · 2.8× Medicare
Medicare pays $32 Fair price $86 This hospital $89 Cash price $79 Hospital's list price $164

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 $89

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 $86 (about 2.7× the $32 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $89, or about $79 in cash — about the fair price. Located in Berea, 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 $47 - $89 145%
Blue Cross Blue Shieldmajor $46 - $53 142%
Aetnamajor $47 - $131 145%
Cignamajor $113 349%
Humanamajor $46 - $95 142%
CareSource $92 284%
Molina $48 - $52 148%
WellCare $45 - $46 139%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 305 Estill Street, Berea, KY 40403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals