CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Jeff Davis Hospital

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $67
Cash Discount Price: $31
vs. Medicare Baseline: 1.91x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at Jeff Davis Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 1.91x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$35.07

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $35.07 (100%)

Cash / Self-Pay: $31 (88%)

Insurance Median: $67 (191%)

Cash: $31 (88% of Medicare)

Ins. Median: $67 (191% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $35.07 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$17 - $48	48%
Humana	$18 - $76	51%
Peach_State	$18	51%
Wellcare	$18	51%
Blue Cross Blue Shield	$28 - $67	80%
Care_Improvement_Plus	$28	80%
Medicare (plans)	$28	80%
Pen_Network	$53	151%
Coventry_Hmo	$62	177%
Coventry_Pos	$62	177%
Uhc_Hmo	$67	191%
Uhc_Indemnity	$67	191%
Uhc_Ppo	$67	191%
Coventry_Ppo	$69	197%
Beech_Street	$71	202%
Care_Source	$71	202%
Cigna	$71	202%
One_Health_Ppo	$71	202%
Choicecare	$76	217%
Community_Care_Network	$76	217%
Georgia_Hospital_Network	$76	217%
Industry_Buying_Group	$76	217%
Novanet	$76	217%
Principal_Health_Care_Of_Georgia	$76	217%
Three_Rivers_Provider_Network	$76	217%
Usa_Managed_Care	$76	217%
Memorial_Health_Partners	$80	228%
Tricare	$83	237%
Multiplan	$85	242%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $31.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97530.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jeff Davis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 97530.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.