CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Bristol Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 1.8× the $35 Medicare rate · typically $31–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $24 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $63 This hospital $39 Cash price $97 Hospital's list price $176

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 6 of 7 other CT hospitals charge more for the same procedure.

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 $63 (about 1.8× the $35 Medicare rate). Bristol Hospital charges insurers about $39, or about $97 in cash — below the fair price — a good deal. Located in Bristol, CT.

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 - $377 106%
Blue Cross Blue Shieldmajor $37 - $78 106%
Aetnamajor $37 - $271 106%
Cignamajor $281 801%
WellCare $37 - $38 106%
+ 3 smaller / regional plans $37 - $315
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 41 Brewster Rd, Bristol, CT 06010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals