Occupational therapy (self-care training)
Facility: Baptist Medical Center Attala
Billing Code: 97535 (CPT)
- CPT Billing Code: 97535
- Insurance Median: $71
- Cash Discount Price: $52
- vs. Medicare Baseline: 2.19x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 219% of the Medicare baseline (a markup of 119%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Tricare | $34 - $43 | 105% |
| Ms Breast and Cervical | $35 - $45 | 108% |
| Blue Cross Blue Shield | $35 - $46 | 108% |
| Vaccn | $35 - $45 | 108% |
| Molina | $35 - $84 | 108% |
| Advanced Health Systems Inc. | $35 | 108% |
| Triwest | $35 - $45 | 108% |
| Devoted Health | $36 - $46 | 111% |
| Humana | $37 - $116 | 114% |
| Shared Health | $37 - $47 | 114% |
| Cigna | $37 - $47 | 114% |
| Aetna | $37 - $112 | 114% |
| Wellcare | $37 - $47 | 114% |
| Primewell | $37 - $47 | 114% |
| Magnolia Ms | $37 - $47 | 114% |
| American Health Plan | $37 - $47 | 114% |
| PPO Holdings | $38 - $49 | 117% |
| Magnolia Regional Health Center | $40 - $52 | 123% |
| Littler | $50 - $64 | 154% |
| First State Bank Trust | $60 - $77 | 185% |
| Burch Food Services | $60 - $77 | 185% |
| Vaughn Electric | $64 - $81 | 198% |
| Dunn Investment Company | $64 - $81 | 198% |
| W W Wood Products | $64 - $81 | 198% |
| Hospitality Management Advisors | $64 - $81 | 198% |
| Y K Auto Group | $64 - $81 | 198% |
| Retzer Resources | $64 - $81 | 198% |
| Watkins Uiberall | $64 - $81 | 198% |
| Jas D Collier | $64 - $81 | 198% |
| Malco Theaters | $64 - $81 | 198% |
| Mid-South Transport | $64 - $81 | 198% |
| First Community Bank | $64 - $81 | 198% |
| United Tn Holdings | $64 - $81 | 198% |
| Davidson Hospitality | $64 - $81 | 198% |
| Brimhall Foods | $64 - $81 | 198% |
| French Camp Academy | $64 - $81 | 198% |
| Security One | $64 - $81 | 198% |
| Carlisle | $64 - $81 | 198% |
| Desoto Co Board of Supervisors | $64 - $81 | 198% |
| Armstrong Relocation | $64 - $81 | 198% |
| Patterson Warehouses | $64 - $81 | 198% |
| First Choice Health Plan of Ms | $64 - $81 | 198% |
| Delta Industries | $64 - $81 | 198% |
| Hattiesburg Clinic | $64 - $81 | 198% |
| Silver Tree | $64 - $81 | 198% |
| Building Plastic | $64 - $81 | 198% |
| W G Yates | $64 - $81 | 198% |
| Heavy Machines | $64 - $81 | 198% |
| Cannon Motor Company | $64 - $81 | 198% |
| Ritchey Automotive | $64 - $81 | 198% |
| Rei Nation | $64 - $81 | 198% |
| Heartland Catfish Company | $64 - $81 | 198% |
| Ashley Furniture Stores | $64 - $81 | 198% |
| State Systems | $64 - $81 | 198% |
| Radians | $64 - $81 | 198% |
| Gossett Motor Cars | $64 - $81 | 198% |
| Crittenden County | $64 - $81 | 198% |
| Mechanical Systems | $64 - $81 | 198% |
| Minact | $64 - $81 | 198% |
| PPO Plus | $71 - $90 | 219% |
| Employers Health Network | $71 - $90 | 219% |
| Multiplan | $71 - $90 | 219% |
| Harding Academy | $71 - $90 | 219% |
| Ms Dept of Rehab Services | $101 - $129 | 312% |
| UnitedHealthcare | $106 | 327% |