CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Ascension Saint Thomas Hospital

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 $41 Hospital's list price $136

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.

A fair price for a Occupational therapy (therapeutic activities) is about $34 (about 1.0× the $35 Medicare rate). Ascension Saint Thomas Hospital charges insurers about $33, or about $41 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 $32 91%
Blue Cross Blue Shieldmajor $22 - $89 63%
Aetnamajor $33 94%
Cignamajor $47 - $50 134%
Humanamajor $32 91%
Ambetter (Centene) $42 120%
Amerigroup $30 - $33 86%
Cigna HealthSpring $32 91%
Oscar Health $45 128%
+ 8 smaller / regional plans $29 - $45
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 4220 Harding Rd, Po Box 380, Nashville, TN 37205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals