CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Fort Loudoun Medical Center
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$48
about 1.4× the $35 Medicare rate · typically $33–$117
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $48 Cash price $16 Hospital's list price $50
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $182 - $257 | 519% |
| Blue Cross Blue Shieldmajor | $44 - $76 | 125% |
| Aetnamajor | $150 | 428% |
| Cignamajor | $138 - $183 | 393% |
| Ambetter (Centene) | $156 | 445% |
Self-Pay How to get the cash price
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Other Procedures at Fort Loudoun Medical Center
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.