CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Dekalb Community Hospital

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$34
about 1.1× the $32 Medicare rate · typically $30–$49
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $4 under the fair price · 0.9× Medicare
Medicare pays $32 Fair price $34 This hospital $30 Cash price $43 Hospital's list price $143

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 3 charge less, among the 9 TN hospitals compared.

Cheapest $19 Priciest $30

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 (self-care training) is about $34 (about 1.1× the $32 Medicare rate). Dekalb Community Hospital charges insurers about $30, or about $43 in cash — below the fair price — a good deal. Located in Smithville, 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 $30 93%
Blue Cross Blue Shieldmajor $16 - $76 49%
Aetnamajor $31 96%
Cignamajor $42 - $46 130%
Humanamajor $30 93%
Ambetter (Centene) $39 120%
Amerigroup $30 93%
Cigna HealthSpring $30 93%
Oscar Health $42 130%
+ 6 smaller / regional plans $27 - $42
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals