Occupational therapy (self-care training)
Facility: Winn Parish Medical Center
Billing Code: 97535 (CPT)
- CPT Billing Code: 97535
- Insurance Median: $50
- Cash Discount Price: $25
- vs. Medicare Baseline: 1.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $32.4 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Self Pay | $25 | 77% |
| Aetna | $27 - $84 | 83% |
| Medicaid / KanCare | $27 - $29 | 83% |
| UnitedHealthcare | $27 - $31 | 83% |
| Wellcare | $27 | 83% |
| Ambetter / Centene | $31 | 96% |
| Blue Advantage | $31 | 96% |
| Champva | $31 | 96% |
| Healthy Blue Dual Adv | $31 | 96% |
| Hospice Misc | $31 | 96% |
| Humana | $31 - $53 | 96% |
| Mcr Lagniappe | $31 | 96% |
| Medicare (plans) | $31 - $59 | 96% |
| Peoples Health | $31 | 96% |
| Snf Autumn Leaves | $31 | 96% |
| Snf Miscellaneous | $31 | 96% |
| Snf Winnfield Nsg & Rehab | $31 | 96% |
| Tricare | $31 | 96% |
| Triwest | $31 | 96% |
| Gulf South Risk Services | $40 | 123% |
| Ima | $42 | 130% |
| Multiplan Ppo | $45 - $53 | 139% |
| Cigna | $46 - $47 | 142% |
| Natl Assoc Of Letter Carr | $46 - $84 | 142% |
| Ppoplus | $50 | 154% |
| Zelis | $50 | 154% |
| Blue Cross Blue Shield | $59 | 182% |
| First Health Ppo | $69 | 213% |
| Web Tpa | $69 | 213% |
| La Workers Comp Corp | $76 | 235% |
| Workman'S Comp Op | $76 | 235% |
| Aflac | $84 | 259% |
| American Health Advantage | $84 | 259% |
| American Retirement | $84 | 259% |
| Amfirst | $84 | 259% |
| Apwu Health Plan | $84 | 259% |
| Attorney Claim | $84 | 259% |
| Bankers Fidelity | $84 | 259% |
| Commercial Miscellaneous | $84 | 259% |
| Correct Care Integrated | $84 | 259% |
| Fox Everett | $84 | 259% |
| Gilsbar | $84 | 259% |
| Guarantee Trust Life | $84 | 259% |
| Heart Of Hospice | $84 | 259% |
| Hospice Compassus | $84 | 259% |
| Legacy Hospice | $84 | 259% |
| Liberty Mutual | $84 | 259% |
| Medico Insurance Company | $84 | 259% |
| Meritain Health | $84 | 259% |
| Miscellaneous | $84 | 259% |
| Mutual Of Omaha | $84 | 259% |
| New Era Life Ins | $84 | 259% |
| Phcs | $84 | 259% |
| Philadephia American | $84 | 259% |
| Physicians Mutual | $84 | 259% |
| Pipeline Ind Benefit Fund | $84 | 259% |
| Rural Carrier Benefit | $84 | 259% |
| Sentinel Security Life | $84 | 259% |
| State Farm | $84 | 259% |
| United American Ins | $84 | 259% |
| United Of Omaha Life Ins | $84 | 259% |
| Usaa Life Ins Co | $84 | 259% |
| World Insurance Company | $84 | 259% |