CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Wilkes Regional Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.1× the $32 Medicare rate · typically $31–$59
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $32 Fair price $35 This hospital $32 Cash price $35 Hospital's list price $70

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $23 Priciest $32

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $35 (about 1.1× the $32 Medicare rate). Wilkes Regional Medical Center charges insurers about $32, or about $35 in cash — about the fair price. Located in North Wilkesboro, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $13 - $37 40%
Blue Cross Blue Shieldmajor $20 - $41 62%
Aetnamajor $27 - $48 83%
Cignamajor $37 - $38 114%
Ambetter (Centene) $30 - $43 93%
AmeriHealth $13 - $41 40%
Oscar Health $38 - $46 117%
WellCare $13 40%
+ 8 smaller / regional plans $13 - $41
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1370 West D St, North Wilkesboro, NC 28659
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals