CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: CHI Saint Joseph Berea Nf

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$86
about 2.5× the $35 Medicare rate · typically $57–$99
modeled estimate · not a bill or quote
What this hospital charges insurers
$74
Below the fair price — a good deal
about $12 under the fair price · 2.1× Medicare
Medicare pays $35 Fair price $86 This hospital $74 Cash price $70 Hospital's list price $145

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 $74

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 $86 (about 2.5× the $35 Medicare rate). CHI Saint Joseph Berea Nf charges insurers about $74, or about $70 in cash — below the fair price — a good deal. 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 $37 - $87 106%
Blue Cross Blue Shieldmajor $36 - $52 103%
Aetnamajor $37 - $129 106%
Cignamajor $89 - $111 254%
Humanamajor $36 - $93 103%
CareSource $72 - $90 205%
Molina $38 - $51 108%
WellCare $36 - $45 103%
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