CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Tristar Skyline Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.0× the $35 Medicare rate · typically $33–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $34 This hospital $33 Cash price $261 Hospital's list price $261

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 4 charge less, among the 9 TN hospitals compared.

Cheapest $24 Priciest $33

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $34 (about 1.0× the $35 Medicare rate). Tristar Skyline Medical Center charges insurers about $33, or about $261 in cash — about the fair price. Located in Nashville, TN.

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 $29 - $123 83%
Blue Cross Blue Shieldmajor $21 - $71 60%
Aetnamajor $29 - $326 83%
Cignamajor $63 - $89 180%
Humanamajor $29 - $177 83%
Ambetter (Centene) $56 - $63 160%
Amerigroup $29 - $33 83%
Bright Health $33 - $65 94%
Cigna HealthSpring $29 - $33 83%
Devoted Health $29 - $33 83%
Health Net $175 - $191 499%
Oscar Health $46 - $50 131%
WellCare $30 - $34 86%
+ 15 smaller / regional plans $29 - $232
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals