CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Gaylord Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$56
about 1.6× the $35 Medicare rate · typically $35–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $19 under the fair price · 1.1× Medicare
Medicare pays $35 Fair price $56 This hospital $37 Cash price $83 Hospital's list price $128

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 8 CT hospitals we have prices for — a strong deal.

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 $56 (about 1.6× the $35 Medicare rate). Gaylord Hospital charges insurers about $37, or about $83 in cash — below the fair price — a good deal. Located in Wallingford, 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 - $160 106%
Blue Cross Blue Shieldmajor $37 - $148 106%
Aetnamajor $37 - $268 106%
Cignamajor $102 - $129 291%
Harvard Pilgrim $108 308%
+ 2 smaller / regional plans $37 - $220
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: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL