CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Central Maine Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.0× the $35 Medicare rate · typically $33–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $35 Fair price $35 This hospital $33 Cash price $33 Hospital's list price $209

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

Lowest price of the 9 ME hospitals we have prices for — a strong deal.

Cheapest $33 Priciest $62

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

A fair price for a Occupational therapy (therapeutic activities) is about $35 (about 1.0× the $35 Medicare rate). Central Maine Medical Center charges insurers about $33, or about $33 in cash — about the fair price. Located in Lewiston, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $33 94%
Blue Cross Blue Shieldmajor $32 - $40 91%
Aetnamajor $33 94%
Cignamajor $95 271%
Humanamajor $33 94%
WellCare $33 94%
+ 1 smaller / regional plan $33
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 Main Street, Lewiston, ME 04240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals