Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
97530 THERAPEUTIC ACT/15 M
Middlesboro, KY
See all hospitals reporting CPT 97530 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $46 is 38% below the median hospital's median price ($74), higher than 27% of the 2,559 hospitals reporting CPT 97530. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 3 | Humana medicare fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 4 | Optum veterans affairs plan fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 5 | UnitedHealthcare medicare fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 6 | WellCare medicare fee schedule · outpatient | $32.82 | $32.82 | $32.82 – $32.82 |
| 7 | Anthem commercial fee schedule · outpatient | $36.74 | $36.74 | $36.74 – $36.74 |
| 8 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $45.53 | $45.53 | $45.53 – $45.53 |
| 9 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $45.53 | $45.53 | $45.53 – $45.53 |
| 10 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $45.53 | $45.53 | $45.53 – $45.53 |
| 11 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $45.53 | $45.53 | $45.53 – $45.53 |
| 12 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $62.00 | $62.00 | $62.00 – $62.00 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $184.76 | $184.76 | $184.76 – $184.76 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $223.20 | $223.20 | $223.20 – $223.20 |
| 15 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $230.64 | $230.64 | $230.64 – $230.64 |
Last updated: Jan 1, 2026
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