CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Marshall Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 1.5× the $32 Medicare rate · typically $34–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $5 over the fair price · 1.7× Medicare
Medicare pays $32 Fair price $48 This hospital $53 Cash price $66 Hospital's list price $141

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 $19 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 (self-care training) is about $48 (about 1.5× the $32 Medicare rate). Marshall Medical Center charges insurers about $53, or about $66 in cash — about the fair price. Located in Lewisburg, TN.

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✓ Humana CignaKaiser 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 $31 96%
Blue Cross Blue Shieldmajor $22 - $149 68%
Aetnamajor $127 392%
Humanamajor $37 114%
+ 5 smaller / regional plans $53 - $120
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: 1080 North Ellington Parkway, Lewisburg, TN 37091
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals