CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Lowell General Hospital
Billing Code: 97530 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$65
about 1.9× the $35 Medicare rate · typically $39–$130
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $65 Cash price $102 Hospital's list price $145
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 | $119 - $267 | 339% |
| Blue Cross Blue Shieldmajor | $90 - $232 | 257% |
| Aetnamajor | $115 - $133 | 328% |
| Cignamajor | $134 - $162 | 382% |
| AmeriHealth | $51 | 145% |
| AvMed | $51 | 145% |
| GEHA | $51 | 145% |
| Harvard Pilgrim | $237 - $271 | 676% |
| Tufts Health Plan | $80 - $162 | 228% |
| WellSense | $51 | 145% |
| + 103 smaller / regional plans | $51 - $249 |
Government programs also on file: Medicare, Medicaid.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Lowell General Hospital
Compare: Occupational therapy (therapeutic activities) at other MA hospitals
- Anna Jaques Hospital · Newburyport $36
- Nantucket Cottage Hospital · Nantucket $36
- North Adams Regional Hospital Corporation · North Adams $36
- Spaulding Rehabilitation Hospital Cape Cod · East Sandwich $36
- Fairview Hospital · Great Barrington $37
- North Shore Medical Center - · Salem $38
- Berkshire Medical Center · Pittsfield $38
- Newton-Wellesley Hospital · Newton $38
Insurance negotiated median for the same procedure, sorted lowest first.