Occupational therapy (therapeutic activities)
Facility: Saint Mary's Hospital
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $43 compared to the $67 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.64× fair market pricing.
One of the lower prices — 5 of 7 other CT hospitals charge more for the same procedure.
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 $67 (about 1.9× the $35 Medicare rate). Saint Mary's Hospital charges insurers about $43, or about $84 in cash — below the fair price — a good deal. Located in Waterbury, CT.
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 - $314 | 103% |
| Blue Cross Blue Shieldmajor | $33 - $43 | 94% |
| Aetnamajor | $36 - $120 | 103% |
| Cignamajor | $38 - $336 | 108% |
| Kaiser Permanentemajor | $43 | 123% |
| Dean Health Plan | $117 | 334% |
| GEHA | $314 | 895% |
| Harvard Pilgrim | $314 | 895% |
| HealthPartners | $336 | 958% |
| MagnaCare | $336 | 958% |
| MVP Health Care | $117 | 334% |
| Paramount | $117 | 334% |
| UniCare | $43 | 123% |
| + 34 smaller / regional plans | $37 - $336 |
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 Saint Mary's Hospital
Compare: Occupational therapy (therapeutic activities) at other CT hospitals
- Gaylord Hospital · Wallingford $37
- Bristol Hospital · Bristol $39
- 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
- Johnson Memorial Hospital · Stafford Springs $146
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Saint Mary's Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $55
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 = $55).
Self-Pay Cash Rate ($84) Beats Your Bill
Saint Mary's Hospital's published 45 CFR § 180 self-pay cash rate is $84 (vs. $43 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $67 Fair BaseRate ($35 Medicare)
Your bill ($152) is $85 above the denoised Fair BaseRate ($67) and 4.3× 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.