Occupational therapy (therapeutic activities)
Facility: Johnson Memorial Hospital
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $146 compared to the $69 fair price benchmark.
3-Star CMS clinical quality rating paired with 2.12× fair market pricing.
Highest price of the 8 CT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 8 CT hospitals with a price for this procedure. Full list below.
A fair price for a Occupational therapy (therapeutic activities) is about $69 (about 2.0× the $35 Medicare rate). Johnson Memorial Hospital charges insurers about $146, or about $109 in cash — well above the fair price. Located in Stafford Springs, CT.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $69. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $36 - $369 | 103% |
| Blue Cross Blue Shieldmajor | $36 - $146 | 103% |
| Aetnamajor | $36 - $154 | 103% |
| Cignamajor | $38 - $181 | 108% |
| Kaiser Permanentemajor | $146 | 416% |
| Dean Health Plan | $164 | 468% |
| GEHA | $369 | 1052% |
| Harvard Pilgrim | $369 | 1052% |
| HealthPartners | $181 | 516% |
| MagnaCare | $181 | 516% |
| MVP Health Care | $164 | 468% |
| Paramount | $164 | 468% |
| UniCare | $146 | 416% |
| + 33 smaller / regional plans | $37 - $314 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Johnson Memorial Hospital
Compare: Occupational therapy (therapeutic activities) at other CT hospitals
- Gaylord Hospital · Wallingford $37
- Bristol Hospital · Bristol $39
- Saint Mary's Hospital · Waterbury $43
- John Dempsey Hospital of the University of Connect · Farmington $71
- Midstate Medical Center · Meriden $98
- Connecticut Childrens Medical Center · Hartford $104
- Griffin Hospital · Derby $130
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Johnson Memorial Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $72
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $72).
Self-Pay Cash Rate ($109) Beats Your Bill
Johnson Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $109 (vs. $146 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $69 Fair BaseRate ($35 Medicare)
Your bill ($198) is $129 above the denoised Fair BaseRate ($69) and 5.7× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.