Occupational therapy (therapeutic activities)
Facility: Baptist Medical Center-Yazoo
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $77
- Cash Discount Price: $53
- vs. Medicare Baseline: 2.20x 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 $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 220% of the Medicare baseline (a markup of 120%). 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 |
|---|---|---|
| Advanced Health Systems Inc. | $34 | 97% |
| Blue Cross Blue Shield | $34 - $69 | 97% |
| Tricare | $38 - $63 | 108% |
| Magnolia Ms | $40 - $70 | 114% |
| Molina | $40 - $123 | 114% |
| Ms Breast And Cervical | $40 - $67 | 114% |
| Triwest | $40 - $67 | 114% |
| Vaccn | $40 - $67 | 114% |
| Devoted Health | $41 - $68 | 117% |
| Aetna | $42 - $98 | 120% |
| American Health Plan | $42 - $70 | 120% |
| Cigna | $42 - $70 | 120% |
| Humana | $42 - $176 | 120% |
| Primewell | $42 - $70 | 120% |
| Shared Health | $42 - $70 | 120% |
| Wellcare | $42 - $70 | 120% |
| Ppo Holdings | $45 - $74 | 128% |
| Magnolia Regional Health Center | $48 - $78 | 137% |
| Littler | $60 - $98 | 171% |
| UnitedHealthcare | $60 - $98 | 171% |
| First State Bank Trust | $69 - $113 | 197% |
| Armstrong Relocation | $73 - $120 | 208% |
| Ashley Furniture Stores | $73 - $120 | 208% |
| Brimhall Foods | $73 - $120 | 208% |
| Building Plastic | $73 - $120 | 208% |
| Burch Food Services | $73 - $120 | 208% |
| Cannon Motor Company | $73 - $120 | 208% |
| Carlisle | $73 - $120 | 208% |
| Crittenden County | $73 - $120 | 208% |
| Davidson Hospitality | $73 - $120 | 208% |
| Delta Industries | $73 - $120 | 208% |
| Desoto Co Board Of Supervisors | $73 - $120 | 208% |
| Dunn Investment Company | $73 - $120 | 208% |
| First Choice Health Plan Of Ms | $73 - $120 | 208% |
| First Community Bank | $73 - $120 | 208% |
| French Camp Academy | $73 - $120 | 208% |
| Gossett Motor Cars | $73 - $120 | 208% |
| Hattiesburg Clinic | $73 - $120 | 208% |
| Heartland Catfish Company | $73 - $120 | 208% |
| Heavy Machines | $73 - $120 | 208% |
| Hospitality Management Advisors | $73 - $120 | 208% |
| Jas D Collier | $73 - $120 | 208% |
| Malco Theaters | $73 - $120 | 208% |
| Mechanical Systems | $73 - $120 | 208% |
| Mid-South Transport | $73 - $120 | 208% |
| Minact | $73 - $120 | 208% |
| Patterson Warehouses | $73 - $120 | 208% |
| Radians | $73 - $120 | 208% |
| Rei Nation | $73 - $120 | 208% |
| Retzer Resources | $73 - $120 | 208% |
| Ritchey Automotive | $73 - $120 | 208% |
| Security One | $73 - $120 | 208% |
| Silver Tree | $73 - $120 | 208% |
| State Systems | $73 - $120 | 208% |
| United Tn Holdings | $73 - $120 | 208% |
| Vaughn Electric | $73 - $120 | 208% |
| W W Wood Products | $73 - $120 | 208% |
| Watkins Uiberall | $73 - $120 | 208% |
| Y K Auto Group | $73 - $120 | 208% |
| W G Yates | $79 - $131 | 225% |
| Employers Health Network | $81 - $133 | 231% |
| Harding Academy | $81 - $133 | 231% |
| Multiplan | $83 - $137 | 237% |
| Ppo Plus | $83 - $137 | 237% |