CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Saint Thomas Highlands Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$33
about 0.9× the $35 Medicare rate · typically $32–$36
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
0.9× Medicare
Medicare pays $35 Fair price $33 This hospital $33 Cash price $44 Hospital's list price $146

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 $33 (about 0.9× the $35 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $33, or about $44 in cash — about the fair price. Located in Sparta, 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 - $76 63%
Aetnamajor $33 94%
Cignamajor $47 - $50 134%
Humanamajor $32 91%
Ambetter (Centene) $42 120%
Amerigroup $32 91%
Cigna HealthSpring $32 91%
Oscar Health $45 128%
+ 6 smaller / regional plans $29 - $45
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals