CMS Price Transparency Data
Occupational therapy (therapeutic activities)
Facility: Heywood Hospital -
Billing Code: 97530 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$58
about 1.7× the $35 Medicare rate · typically $36–$86
modeled estimate · not a bill or quote
Medicare pays $35 Fair price $58 Cash price $90 Hospital's list price $90
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 | $577 | 1645% |
| Blue Cross Blue Shieldmajor | $109 - $111 | 311% |
| Aetnamajor | $69 | 197% |
| Cignamajor | $216 | 616% |
| Harvard Pilgrim | $190 | 542% |
| Tufts Health Plan | $89 - $91 | 254% |
| + 1 smaller / regional plan | $41 |
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Other Procedures at Heywood 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.