CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Johnson County Community Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$52
about 1.5× the $35 Medicare rate · typically $34–$80
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $1 over the fair price · 1.5× Medicare
Medicare pays $35 Fair price $52 This hospital $53 Cash price $33 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 $53

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 $52 (about 1.5× the $35 Medicare rate). Johnson County Community Hospital charges insurers about $53, or about $33 in cash — about the fair price. Located in Mountain City, 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 $42 - $144 120%
Blue Cross Blue Shieldmajor $26 - $144 74%
Aetnamajor $42 - $92 120%
Cignamajor $44 - $70 125%
Humanamajor $42 120%
Ambetter (Centene) $46 131%
Amerigroup $42 - $56 120%
Devoted Health $44 125%
Molina $43 - $51 123%
Sentara $42 - $49 120%
WellCare $42 120%
+ 3 smaller / regional plans $42 - $144
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1901 S Shady St, Mountain City, TN 37683
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals