CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Neshoba County General Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $30–$45
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $35 This hospital $33 Cash price $59 Hospital's list price $84

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

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

Cheapest $20 Priciest $33

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

A fair price for a Occupational therapy (therapeutic activities) is about $35 (about 1.0× the $35 Medicare rate). Neshoba County General Hospital charges insurers about $33, or about $59 in cash — about the fair price. Located in Philadelphia, MS.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $32 - $134 91%
Blue Cross Blue Shieldmajor $67 191%
Aetnamajor $42 120%
Cignamajor $75 214%
Humanamajor $32 91%
GEHA $76 217%
Molina $32 - $33 91%
WellCare $32 91%
+ 9 smaller / regional plans $32 - $105
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL