CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Metrowest Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$56
about 1.6× the $35 Medicare rate · typically $38–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$53
About the fair price
about $3 under the fair price · 1.5× Medicare
Medicare pays $35 Fair price $56 This hospital $53 Cash price $314 Hospital's list price $418

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $53

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $56 (about 1.6× the $35 Medicare rate). Metrowest Medical Center charges insurers about $53, or about $314 in cash — about the fair price. Located in Framingham, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $82 - $94 234%
Health Net $25 71%
+ 1 smaller / regional plan $25
Excludes 2 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

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals