Occupational therapy (therapeutic activities)
Facility: Highpoint Health-Sumner With Ascension Saint Thoma
Billing Code: 97530 (CPT)
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $52 (about 1.5× the $35 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $135, or about $108 in cash — well above the fair price. Located in Gallatin, TN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $52. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $221 | 630% |
| Blue Cross Blue Shieldmajor | $91 - $109 | 259% |
| Cignamajor | $162 - $179 | 462% |
| Health Net | $88 | 251% |
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.
Other Procedures at Highpoint Health-Sumner With Ascension Saint Thoma
Compare: Occupational therapy (therapeutic activities) at other TN hospitals
- Baptist Memorial Hospital - Carroll County · Huntingdon $24
- Baptist Memorial Hospital Union City · Union City $24
- Methodist Hospitals of Memphis · Memphis $32
- Haywood County Community Hospital · Brownsville $32
- Tristar Skyline Medical Center · Nashville $33
- University Health System, Inc · Knoxville $33
- Tristar Horizon Medical Center · Dickson $33
- Tristar Northcrest Medical Center · Springfield $33
Insurance negotiated median for the same procedure, sorted lowest first.