Occupational therapy (therapeutic activities)
Facility: Bmh-Calhoun
Billing Code: 97530 (CPT)
- CPT Billing Code: 97530
- Insurance Median: $132
- Cash Discount Price: $111
- vs. Medicare Baseline: 3.76x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $35.07 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 376% of the Medicare baseline (a markup of 276%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $34 - $106 | 97% |
| PPO Holdings | $36 - $91 | 103% |
| Tricare | $38 - $98 | 108% |
| Magnolia Regional Health Center | $38 - $96 | 108% |
| Vaccn | $40 - $103 | 114% |
| Triwest | $40 - $103 | 114% |
| Ms Breast and Cervical | $40 - $103 | 114% |
| Molina | $40 - $191 | 114% |
| Devoted Health | $41 - $105 | 117% |
| Aetna | $42 - $156 | 120% |
| Humana | $42 - $192 | 120% |
| American Health Plan | $42 - $108 | 120% |
| Shared Health | $42 - $108 | 120% |
| Primewell | $42 - $108 | 120% |
| Magnolia Ms | $46 - $118 | 131% |
| Littler | $47 - $120 | 134% |
| Cigna | $52 - $132 | 148% |
| First Choice Health Plan of Ms | $61 - $155 | 174% |
| First State Bank Trust | $69 - $175 | 197% |
| Burch Food Services | $69 - $175 | 197% |
| Heavy Machines | $73 - $186 | 208% |
| Building Plastic | $73 - $186 | 208% |
| Y K Auto Group | $73 - $186 | 208% |
| Security One | $73 - $186 | 208% |
| Crittenden County | $73 - $186 | 208% |
| Bartlett City Schools | $73 - $186 | 208% |
| Delta Industries | $73 - $186 | 208% |
| First Community Bank | $73 - $186 | 208% |
| Desoto Co Board of Supervisors | $73 - $186 | 208% |
| Retzer Resources | $73 - $186 | 208% |
| Minact | $73 - $186 | 208% |
| Vaughn Electric | $73 - $186 | 208% |
| Watkins Uiberall | $73 - $186 | 208% |
| United Tn Holdings | $73 - $186 | 208% |
| Radians | $73 - $186 | 208% |
| Hospitality Management Advisors | $73 - $186 | 208% |
| Cannon Motor Company | $73 - $186 | 208% |
| Malco Theaters | $73 - $186 | 208% |
| W G Yates | $73 - $186 | 208% |
| Silver Tree | $73 - $186 | 208% |
| Brimhall Foods | $73 - $186 | 208% |
| Armstrong Relocation | $73 - $186 | 208% |
| Mechanical Systems | $73 - $186 | 208% |
| Patterson Warehouses | $73 - $186 | 208% |
| City of Bartlett | $73 - $186 | 208% |
| Ritchey Automotive | $73 - $186 | 208% |
| W W Wood Products | $73 - $186 | 208% |
| Gossett Motor Cars | $73 - $186 | 208% |
| Davidson Hospitality | $73 - $186 | 208% |
| State Systems | $73 - $186 | 208% |
| Mid-South Transport | $73 - $186 | 208% |
| Lakeland School System | $73 - $186 | 208% |
| Carlisle | $73 - $186 | 208% |
| Dunn Investment Company | $73 - $186 | 208% |
| Jas D Collier | $73 - $186 | 208% |
| Eas Mssc Schools | $73 - $186 | 208% |
| Heartland Catfish Company | $73 - $186 | 208% |
| French Camp Academy | $73 - $186 | 208% |
| Arlington Community Schools | $73 - $186 | 208% |
| Rei Nation | $73 - $186 | 208% |
| Hollowell Industries | $73 - $186 | 208% |
| Hattiesburg Clinic | $73 - $186 | 208% |
| Ashley Furniture Stores | $73 - $186 | 208% |
| City of Lakeland | $73 - $186 | 208% |
| Town of Collierville | $73 - $186 | 208% |
| Collierville Schools | $73 - $186 | 208% |
| Advanced Health Systems Inc. | $75 - $192 | 214% |
| Christian Health Aid | $75 - $192 | 214% |
| PPO Plus | $80 - $204 | 228% |
| Harding Academy | $81 - $206 | 231% |
| Employers Health Network | $81 - $206 | 231% |
| Multiplan | $85 - $216 | 242% |
| Qca | $85 - $216 | 242% |