CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Baptist Medical Center-Yazoo
Billing Code: 97535 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 97535
- Insurance Median: $63
- Cash Discount Price: $49
- vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Occupational therapy (self-care training) at Baptist Medical Center-Yazoo is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $32.4, this hospital’s rate is 1.94x the Medicare baseline. Located in 823 Grand Avenue, Yazoo City, MS.
Cash / Self-Pay
$49
Average discount available for prompt cash payment at this facility.
Insurance Median
$63
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$32.4
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $32.4 (100%)
Cash / Self-Pay: $49 (151%)
Insurance Median: $63 (194%)
Cash: $49 (151% of Medicare)
Ins. Median: $63 (194% of 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.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $33 - $42 | 102% |
| Magnolia Ms | $34 - $46 | 105% |
| Molina | $34 - $81 | 105% |
| Ms Breast And Cervical | $34 - $44 | 105% |
| Triwest | $34 - $44 | 105% |
| Vaccn | $34 - $44 | 105% |
| Advanced Health Systems Inc. | $35 | 108% |
| Blue Cross Blue Shield | $35 - $45 | 108% |
| Devoted Health | $35 - $45 | 108% |
| Aetna | $36 - $64 | 111% |
| American Health Plan | $36 - $46 | 111% |
| Cigna | $36 - $46 | 111% |
| Humana | $36 - $116 | 111% |
| Primewell | $36 - $46 | 111% |
| Shared Health | $36 - $46 | 111% |
| Wellcare | $36 - $46 | 111% |
| Ppo Holdings | $38 - $49 | 117% |
| Magnolia Regional Health Center | $40 - $52 | 123% |
| Littler | $50 - $64 | 154% |
| UnitedHealthcare | $50 - $64 | 154% |
| First State Bank Trust | $58 - $75 | 179% |
| Armstrong Relocation | $62 - $79 | 191% |
| Ashley Furniture Stores | $62 - $79 | 191% |
| Brimhall Foods | $62 - $79 | 191% |
| Building Plastic | $62 - $79 | 191% |
| Burch Food Services | $62 - $79 | 191% |
| Cannon Motor Company | $62 - $79 | 191% |
| Carlisle | $62 - $79 | 191% |
| Crittenden County | $62 - $79 | 191% |
| Davidson Hospitality | $62 - $79 | 191% |
| Delta Industries | $62 - $79 | 191% |
| Desoto Co Board Of Supervisors | $62 - $79 | 191% |
| Dunn Investment Company | $62 - $79 | 191% |
| First Choice Health Plan Of Ms | $62 - $79 | 191% |
| First Community Bank | $62 - $79 | 191% |
| French Camp Academy | $62 - $79 | 191% |
| Gossett Motor Cars | $62 - $79 | 191% |
| Hattiesburg Clinic | $62 - $79 | 191% |
| Heartland Catfish Company | $62 - $79 | 191% |
| Heavy Machines | $62 - $79 | 191% |
| Hospitality Management Advisors | $62 - $79 | 191% |
| Jas D Collier | $62 - $79 | 191% |
| Malco Theaters | $62 - $79 | 191% |
| Mechanical Systems | $62 - $79 | 191% |
| Mid-South Transport | $62 - $79 | 191% |
| Minact | $62 - $79 | 191% |
| Patterson Warehouses | $62 - $79 | 191% |
| Radians | $62 - $79 | 191% |
| Rei Nation | $62 - $79 | 191% |
| Retzer Resources | $62 - $79 | 191% |
| Ritchey Automotive | $62 - $79 | 191% |
| Security One | $62 - $79 | 191% |
| Silver Tree | $62 - $79 | 191% |
| State Systems | $62 - $79 | 191% |
| United Tn Holdings | $62 - $79 | 191% |
| Vaughn Electric | $62 - $79 | 191% |
| W W Wood Products | $62 - $79 | 191% |
| Watkins Uiberall | $62 - $79 | 191% |
| Y K Auto Group | $62 - $79 | 191% |
| W G Yates | $67 - $86 | 207% |
| Employers Health Network | $69 - $88 | 213% |
| Harding Academy | $69 - $88 | 213% |
| Multiplan | $71 - $90 | 219% |
| Ppo Plus | $71 - $90 | 219% |