CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Sgmc Berrien Campus

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$40
about 1.1× the $35 Medicare rate · typically $34–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
About the fair price
1.1× Medicare
Medicare pays $35 Fair price $40 This hospital $40 Cash price $150 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $20 Priciest $40

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $40 (about 1.1× the $35 Medicare rate). Sgmc Berrien Campus charges insurers about $40, or about $150 in cash — about the fair price. Located in Nashville, GA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
WellCare $33 94%
+ 2 smaller / regional plans $40 - $49

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1221 E McPherson Avenue, Nashville, GA 31639
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals