CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Midstate Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.0× the $35 Medicare rate · typically $31–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
Above the fair price
about $27 over the fair price · 2.8× Medicare
Medicare pays $35 Fair price $71 This hospital $98 Cash price $161 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 3 charge more and 4 charge less, among the 8 CT hospitals compared.

Cheapest $37 Priciest $146

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 $71 (about 2.0× the $35 Medicare rate). Midstate Medical Center charges insurers about $98, or about $161 in cash — above the fair price. Located in Meriden, 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 $71. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

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 $37 106%
Blue Cross Blue Shieldmajor $37 - $212 106%
Aetnamajor $37 - $210 106%
Cignamajor $226 644%
Molina $37 - $233 106%
Tufts Health Plan $37 106%
WellCare $37 106%
+ 1 smaller / regional plan $37

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 435 Lewis Avenue, Meriden, CT 06450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals