CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Jackson-Madison County General Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 2.4× the $35 Medicare rate · typically $44–$83
modeled estimate · not a bill or quote
What this hospital charges insurers
$81
About the fair price
about $2 under the fair price · 2.3× Medicare
Medicare pays $35 Fair price $83 This hospital $81 Cash price $46 Hospital's list price $152

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $24 Priciest $81

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

A fair price for a Occupational therapy (therapeutic activities) is about $83 (about 2.4× the $35 Medicare rate). Jackson-Madison County General Hospital charges insurers about $81, or about $46 in cash — about the fair price. Located in Jackson, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $303 864%
Blue Cross Blue Shieldmajor $77 - $84 220%
Aetnamajor $74 - $98 211%
Oscar Health $177 505%
+ 2 smaller / regional plans $106 - $152

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 620 Skyline Drive, Jackson, TN 38301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals