CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Wellmont Holston Valley Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $35–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
About the fair price
1.0× Medicare
Medicare pays $35 Fair price $35 This hospital $35 Cash price $34 Hospital's list price $224

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 $35

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 $35 (about 1.0× the $35 Medicare rate). Wellmont Holston Valley Medical Center charges insurers about $35, or about $34 in cash — about the fair price. Located in Kingsport, 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 $33 - $224 94%
Blue Cross Blue Shieldmajor $26 - $147 74%
Aetnamajor $33 - $96 94%
Cignamajor $35 - $104 100%
Humanamajor $33 94%
Ambetter (Centene) $72 205%
Amerigroup $31 - $34 88%
Devoted Health $35 100%
Molina $35 - $46 100%
Sentara $33 - $58 94%
WellCare $35 - $224 100%
+ 4 smaller / regional plans $33 - $79
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 130 West Ravine Road, Kingsport, TN 37662
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals