CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$68
about 1.9× the $35 Medicare rate · typically $35–$136
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $68 Hospital's list price $334
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana
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 | $36 - $224 | 103% |
| Blue Cross Blue Shieldmajor | $36 - $182 | 103% |
| Aetnamajor | $36 - $299 | 103% |
| Cignamajor | $38 - $137 | 108% |
| Kaiser Permanentemajor | $182 | 519% |
| Dean Health Plan | $227 | 647% |
| GEHA | $224 | 639% |
| Harvard Pilgrim | $224 | 639% |
| HealthPartners | $137 | 391% |
| MagnaCare | $137 | 391% |
| MVP Health Care | $227 | 647% |
| Paramount | $227 | 647% |
| UniCare | $182 | 519% |
| + 31 smaller / regional plans | $37 - $402 |
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mount Sinai Rehabilitation Hospital Inc
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.