CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Redington Fairview General Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$71
about 2.0× the $35 Medicare rate · typically $36–$127
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Above the fair price
about $42 over the fair price · 3.2× Medicare
Medicare pays $35 Fair price $71 This hospital $113 Cash price $82 Hospital's list price $113

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 $113

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 $71 (about 2.0× the $35 Medicare rate). Redington Fairview General Hospital charges insurers about $113, or about $82 in cash — above the fair price. Located in Skowhegan, ME.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $71. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Humana CignaKaiser 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 $113 322%
Blue Cross Blue Shieldmajor $113 322%
Aetnamajor $113 322%
Humanamajor $113 322%
+ 2 smaller / regional plans $113

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 46 Fairview Ave Po Box 468, Skowhegan, ME 04976
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals