CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: William W Backus Hospital
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–$188
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $71 Cash price $161 Hospital's list price $161
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 - $357 | 106% |
| Aetnamajor | $37 - $225 | 106% |
| Cignamajor | $205 | 585% |
| Molina | $37 - $205 | 106% |
| Tufts Health Plan | $37 | 106% |
| WellCare | $37 | 106% |
| + 1 smaller / regional plan | $37 |
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Other Procedures at William W Backus 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
- Johnson Memorial Hospital · Stafford Springs $146
Insurance negotiated median for the same procedure, sorted lowest first.