CMS Price Transparency Data
Occupational therapy (self-care training)
Facility: Cumberland Medical Center
Billing Code: 97535 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$63
about 2.0× the $32 Medicare rate · typically $33–$111
modeled estimate · not a bill or quote
Medicare pays $32 Fair price $63 Cash price $16 Hospital's list price $50
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 | $181 - $257 | 559% |
| Blue Cross Blue Shieldmajor | $38 - $76 | 117% |
| Aetnamajor | $150 | 463% |
| Cignamajor | $138 - $183 | 426% |
| Ambetter (Centene) | $156 | 481% |
Self-Pay How to get the cash price
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Other Procedures at Cumberland Medical Center
Compare: Occupational therapy (self-care training) at other TN hospitals
- Baptist Memorial Hospital - Carroll County · Huntingdon $19
- Baptist Memorial Hospital Union City · Union City $21
- Baptist Memorial Hospital · Memphis $28
- University Health System, Inc · Knoxville $30
- Methodist Hospitals of Memphis · Memphis $30
- Lincoln Medical Center · Fayetteville $30
- Baptist Memorial Hospital Tipton · Covington $30
- Dekalb Community Hospital · Smithville $30
Insurance negotiated median for the same procedure, sorted lowest first.