CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Gateway Rehabilitation Hospital
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$40
about 1.3× the $32 Medicare rate · typically $28–$100
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $40 Hospital's list price $173
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 | $123 - $222 | 380% |
| Blue Cross Blue Shieldmajor | $123 - $222 | 380% |
| Aetnamajor | $123 - $222 | 380% |
| Cignamajor | $123 - $222 | 380% |
| Humanamajor | $123 - $222 | 380% |
| CareSource | $123 - $222 | 380% |
| Devoted Health | $123 - $222 | 380% |
| Molina | $123 - $222 | 380% |
| WellCare | $123 - $222 | 380% |
| + 1 smaller / regional plan | $123 - $222 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Gateway Rehabilitation Hospital
Compare: Occupational therapy (self-care training) at other KY hospitals
- Three Rivers Medical Center · Louisa $15
- Breckinridge Memorial Hospital · Hardinsburg $15
- Monroe County Medical Center · Tompkinsville $16
- Kentucky River Medical Center · Jackson $23
- King's Daughters' Medical Center · Ashland $28
- Deaconess Henderson Hospital · Henderson $29
- University of Kentucky Hospital · Lexington $29
- Baptist Health Deaconess Madisonville · Madisonville $29
Insurance negotiated median for the same procedure, sorted lowest first.