CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Griffin Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$72
about 2.1× the $35 Medicare rate · typically $30–$177
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Well above the fair price
about $58 over the fair price · 3.7× Medicare
Medicare pays $35 Fair price $72 This hospital $130 Cash price $45 Hospital's list price $288

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

On the higher side — 6 of 7 other CT hospitals charge less.

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 $72 (about 2.1× the $35 Medicare rate). Griffin Hospital charges insurers about $130, or about $45 in cash — well above the fair price. Located in Derby, 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 $72. 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 $325 927%
Blue Cross Blue Shieldmajor $94 - $446 268%
Aetnamajor $125 - $130 356%
Cignamajor $237 676%
+ 4 smaller / regional plans $160 - $498

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: 130 Division St, Derby, CT 06418
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals