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Therapy Procedure Using Functional Activities Cost in Tennessee
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 78 Tennessee hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $55.39
📉 Low $4.20
📈 High $581
🏥 78 hospitals
🏛️ 67 with insurance contracts
🇺🇸 Medicare $33.09
Hospital comparison — Tennessee
Sorted by cash price (lowest first). Showing top 60 of 78 hospitals.
Billed more than $55.39 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | BCBS | Cigna | Centene | Humana | Devoted | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| HARDIN MEDICAL CENTER SAVANNAH |
$4.20 | $55.00 | $27.23 | — | $209 | — | — | — | — |
| PARKWEST MEDICAL CENTER KNOXVILLE |
$15.00 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| LECONTE MEDICAL CENTER SEVIERVILLE |
$15.50 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| CUMBERLAND MEDICAL CENTER CROSSVILLE |
$15.50 | $181 | $150 | $43.69 | $138 | $156 | — | — | — |
| FORT SANDERS REGIONAL MEDICAL CENTER KNOXVILLE |
$15.50 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| ROANE MEDICAL CENTER HARRIMAN |
$15.50 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| METHODIST MEDICAL CENTER OF OAK RIDGE OAK RIDGE |
$15.50 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| MORRISTOWN-HAMBLEN HEALTHCARE SYSTEM MORRISTOWN |
$15.50 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| FORT LOUDOUN MEDICAL CENTER LENOIR CITY |
$16.00 | $182 | $150 | $43.69 | $138 | $156 | — | — | — |
| STARR REGIONAL MEDICAL CENTER ETOWAH ETOWAH |
$22.26 | — | — | — | — | — | — | — | — |
| STARR REGIONAL MEDICAL CENTER ATHENS |
$22.26 | $40.40 | $51.00 | $74.00 | $52.20 | $300 | $74.00 | $103 | $100 |
| UNITY MEDICAL CENTER MANCHESTER |
$25.97 | $32.46 | — | $32.46 | — | — | — | — | $31.81 |
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER KNOXVILLE |
$30.50 | $25.90 | $33.68 | $28.38 | $32.38 | $34.00 | $32.38 | $33.68 | $34.32 |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$33.12 | $46.00 | $50.64 | $25.53 | $66.82 | $102 | $104 | $107 | $102 |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$33.12 | $46.00 | $50.64 | $25.53 | $66.82 | $102 | $104 | $107 | $102 |
| JOHNSON COUNTY COMMUNITY HOSPITAL MOUNTAIN CITY |
$33.12 | $41.76 | $41.76 | $25.53 | $43.85 | $41.76 | $42.43 | $43.85 | $41.76 |
| FRANKLIN WOODS COMMUNITY HOSPITAL JOHNSON CITY |
$33.60 | $33.09 | $33.09 | $31.03 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| HOLSTON VALLEY MEDICAL CENTER KINGSPORT |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| INDIAN PATH COMMUNITY HOSPITAL KINGSPORT |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| JOHNSON CITY MEDICAL CENTER JOHNSON CITY |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| GREENEVILLE COMMUNITY HOSPITAL GREENEVILLE |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| SYCAMORE SHOALS HOSPITAL ELIZABETHTON |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| BRISTOL REGIONAL MEDICAL CENTER BRISTOL |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| HAWKINS COUNTY MEMORIAL HOSPITAL ROGERSVILLE |
$33.60 | $33.09 | $33.09 | $25.53 | $34.74 | $35.08 | $33.09 | $34.74 | $33.09 |
| ASCENSION SAINT THOMAS RUTHERFORD HOSPITAL MEDICAL CENTER PKWY MURFREESBORO |
$34.04 | — | — | — | — | — | — | — | — |
| ASCENSION SAINT THOMAS STONES RIVER HOSPITAL DOOLITTLE RD WOODBURY |
$35.75 | $32.38 | $33.03 | $22.01 | $47.12 | $42.09 | $32.38 | — | $32.38 |
| ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL SEWELL DR SPARTA |
$35.75 | $32.38 | $33.03 | $22.01 | $47.12 | $42.09 | $32.38 | — | $32.38 |
| ASCENSION SAINT THOMAS RIVER PARK HOSPITAL SPARTA RD MCMINNVILLE |
$35.75 | $32.38 | $33.03 | $32.38 | $47.12 | $42.09 | $32.38 | — | $32.38 |
| ASCENSION SAINT THOMAS DEKALB W MAIN ST SMITHVILLE |
$35.75 | $32.38 | $33.03 | $22.01 | $47.12 | $42.09 | $32.38 | — | $32.38 |
| ASCENSION SAINT THOMAS WEST HOSPITAL HARDING PK NASHVILLE |
$37.44 | $32.38 | $33.03 | $33.68 | — | $42.09 | $32.38 | — | $30.44 |
| LINCOLN MEDICAL CENTER FAYETTEVILLE |
$37.92 | — | — | — | $32.68 | — | — | — | — |
| BIG SOUTH FORK MEDICAL CENTER ALBERTA ST ONEDIA |
$38.29 | — | $128 | — | — | — | — | — | — |
| HENDERSON COUNTY COMMUNITY HOSPITAL LEXINGTON |
$42.10 | $19.90 | $33.99 | — | — | — | $23.42 | — | — |
| HAYWOOD COUNTY COMMUNITY HOSPITAL BROWNSVILLE |
$42.10 | $19.90 | $33.99 | — | — | — | $23.42 | — | — |
| HOUSTON COUNTY COMMUNITY HOSPITAL ERIN |
$42.10 | $19.90 | $33.99 | — | — | — | $23.42 | — | — |
| PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE |
$46.50 | — | — | — | — | — | — | — | — |
| SWEETWATER HOSPITAL ASSOCIATION SWEETWATER |
$53.91 | — | — | — | — | — | — | — | — |
| VANDERBILT WILSON COUNTY HOSPITAL LEBANON |
$55.39 | $25.25 | — | — | — | — | — | — | — |
| VANDERBILT BEDFORD HOSPITAL SHELBYVILLE |
$55.39 | $25.25 | — | — | — | — | — | — | — |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL TULLAHOMA |
$55.39 | $25.25 | — | — | — | — | — | — | — |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$55.70 | $33.66 | $25.79 | $26.91 | $36.35 | $25.79 | — | — | — |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$55.70 | $33.66 | $25.79 | $26.91 | $36.35 | $25.79 | — | — | — |
| MARSHALL MEDICAL CENTER LEWISBURG |
$57.81 | — | $69.60 | $30.68 | — | — | $40.35 | — | — |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM SEWANEE HOSPITAL ROAD WINCHESTER |
$60.20 | $40.40 | $52.00 | $74.00 | $52.20 | — | $74.00 | $103 | $100 |
| WILLIAMSON MEDICAL CENTER FRANKLIN |
$62.72 | $25.26 | $32.38 | $32.38 | $34.00 | $33.03 | $32.38 | $33.03 | — |
| WAYNE MEDICAL CENTER WAYNESBORO |
$66.01 | $34.00 | $35.02 | $30.68 | $34.00 | $34.00 | $34.00 | — | $34.00 |
| MAURY REGIONAL HOSPITAL COLUMBIA |
$66.01 | $32.38 | $33.35 | $30.68 | $32.38 | $33.35 | $32.38 | — | $32.38 |
| MACON COMMUNITY HOSPITAL LAFAYETTE |
$68.52 | $33.12 | $97.07 | $33.12 | $33.12 | $33.12 | $33.12 | — | — |
| LE BONHEUR CHILDREN'S HOSPITAL MEMPHIS |
$68.64 | — | — | — | — | — | — | — | — |
| RHEA MEDICAL CENTER DAYTON |
$72.08 | — | — | $33.91 | $84.80 | — | $33.57 | — | — |
| SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY NASHVILLE |
$75.00 | — | — | $66.00 | — | — | — | — | — |
| METHODIST SOUTH HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST NORTH HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST UNIVERSITY HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST LE BONHEUR GERMANTOWN HOSPITAL GERMANTOWN |
$78.32 | — | — | — | — | — | — | — | — |
| CHI MEMORIAL HOSPITAL HIXSON HIXSON |
$78.44 | $70.00 | $186 | $32.76 | $121 | $53.00 | — | — | — |
| NASHVILLE GENERAL HOSPITAL NASVILLE |
$86.40 | — | $79.20 | $36.55 | $19.00 | — | — | — | — |
| VANDERBILT CLARKSVILLE HOSPITAL CLARKSVILLE |
$87.86 | $31.86 | $32.82 | $28.61 | $42.09 | $32.38 | $31.86 | $32.37 | $31.86 |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG | $90.78 | $40.40 | $52.00 | $74.00 | $52.20 | — | $74.00 | $103 | $100 |
| HIGHPOINT HEALTH - SUMNER WITH ASCENSION SAINT THOMAS GALLATIN |
$105 | $102 | $31.10 | $90.91 | $52.20 | $215 | $100 | $103 | $100 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $55.39 for this?
That is the median of what the 78 Tennessee hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in Tennessee, Medicare reimburses about $33.09 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Tennessee range from $4.20 to $581 — that means hospital cash prices are typically 1.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in Tennessee?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Tennessee range from $4.20 to $581, with a median of $55.39. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Tennessee?
- The cheapest Tennessee hospital published cash price for this procedure is $4.20. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Therapy procedure using functional activities in nearby states
Other procedures in Tennessee
Methodology. Cash prices and insurance-negotiated rates published by each Tennessee facility under federal price transparency rules (45 CFR § 180). CPT code 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.