CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Metro Nashville General Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$47
about 1.3× the $35 Medicare rate · typically $25–$84
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $9 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $47 This hospital $38 Cash price $86 Hospital's list price $144

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 $38

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 $47 (about 1.3× the $35 Medicare rate). Metro Nashville General Hospital charges insurers about $38, or about $86 in cash — below the fair price — a good deal. 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.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $37 - $48 106%
Aetnamajor $79 225%
Cignamajor $19 54%
+ 1 smaller / regional plan $18
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals