CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mississippi Baptist Medical Center

Billing Code: 97530 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97530
Insurance Median: $82
Cash Discount Price: $38
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Occupational therapy (therapeutic activities) at Mississippi Baptist Medical Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $35.07, this hospital’s rate is 2.34x the Medicare baseline. Located in 1225 N State St, Jackson, MS.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $38 (108%)

Insurance Median: $82 (234%)

Cash: $38 (108% of Medicare)

Ins. Median: $82 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$26 - $82	74%
UnitedHealthcare	$33 - $162	94%
Advanced Health Systems Inc.	$34	97%
Blue Cross Blue Shield	$34	97%
Magnolia Ms	$46 - $55	131%
Ppo Holdings	$62 - $74	177%
Ppo Plus	$64 - $77	182%
Magnolia Regional Health Center	$66 - $78	188%
Multiplan	$71 - $147	202%
Mpcn	$74 - $88	211%
Humana	$79 - $95	225%
Littler	$82 - $98	234%
Medi Share	$82 - $98	234%
Molina	$82 - $98	234%
Occunet	$85	242%
First Choice Health Plan Of Ms	$87 - $104	248%
Primewell	$98 - $118	279%
Christian Health Aid	$131 - $157	374%
Cigna	$161	459%

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 $38.
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 Mississippi Baptist Medical Center 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.