CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Russell County Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.1× the $35 Medicare rate · typically $34–$61
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $37 This hospital $36 Cash price $34 Hospital's list price $224

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $36

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $37 (about 1.1× the $35 Medicare rate). Russell County Hospital charges insurers about $36, or about $34 in cash — about the fair price. Located in Lebanon, VA.

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 $35 - $224 100%
Blue Cross Blue Shieldmajor $35 - $116 100%
Aetnamajor $35 - $179 100%
Cignamajor $36 - $108 103%
Humanamajor $35 100%
Ambetter (Centene) $75 214%
Amerigroup $35 100%
Devoted Health $36 103%
Molina $36 - $47 103%
Sentara $35 - $82 100%
+ 3 smaller / regional plans $35 - $224
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: 58 Carroll Street, Lebanon, VA 24266
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals