Occupational therapy (therapeutic activities)
Facility: Mainehealth Maine Medical Center
Billing Code: 97530 (CPT)
A typical price — 3 charge more and 5 charge less, among the 9 ME hospitals compared.
Black dot = this hospital, among the 9 ME 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 $45 (about 1.3× the $35 Medicare rate). Mainehealth Maine Medical Center charges insurers about $49, or about $163 in cash — about the fair price. Located in Portland, ME.
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
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 | $35 - $181 | 100% |
| Blue Cross Blue Shieldmajor | $35 - $87 | 100% |
| Aetnamajor | $35 - $167 | 100% |
| Cignamajor | $91 - $167 | 259% |
| Humanamajor | $35 - $41 | 100% |
| Harvard Pilgrim | $71 - $173 | 202% |
| WellCare | $36 - $42 | 103% |
| + 1 smaller / regional plan | $73 - $169 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mainehealth Maine Medical Center
Compare: Occupational therapy (therapeutic activities) at other ME hospitals
- Central Maine Medical Center · Lewiston $33
- Cary Medical Center · Caribou $33
- Northern Maine Medical Center · Fort Kent $33
- Mainehealth Pen Bay Hospital · Rockport $40
- Mainehealth Mid Coast Hospital · Brunswick $42
- Mainehealth Franklin Hospital · Farmington $58
- Millinocket Regional Hospital · Millinocket $61
- Lincolnhealth · Damariscotta $62
Insurance negotiated median for the same procedure, sorted lowest first.