CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Penobscot Valley Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$64
about 1.8× the $35 Medicare rate · typically $47–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$67
About the fair price
about $3 over the fair price · 1.9× Medicare
Medicare pays $35 Fair price $64 This hospital $67 Cash price $113 Hospital's list price $142

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $33 Priciest $67

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 $64 (about 1.8× the $35 Medicare rate). Penobscot Valley Hospital charges insurers about $67, or about $113 in cash — about the fair price. Located in Lincoln, 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 $65 - $113 185%
Blue Cross Blue Shieldmajor $67 191%
Aetnamajor $67 - $136 191%
Cignamajor $133 379%
Humanamajor $66 188%
Harvard Pilgrim $135 385%
WellCare $66 188%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals