CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Rhode Island Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 2.0× the $35 Medicare rate · typically $38–$87
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $2 under the fair price · 2.0× Medicare
Medicare pays $35 Fair price $71 This hospital $69 Cash price $132 Hospital's list price $132

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

One of the lower prices — 3 of 4 other RI hospitals charge more for the same procedure.

Cheapest $37 Priciest $118

Black dot = this hospital, among the 5 RI 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). Rhode Island Hospital charges insurers about $69, or about $132 in cash — about the fair price. Located in Providence, RI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $41 - $81 117%
Aetnamajor $37 106%
Cignamajor $36 - $151 103%
Tufts Health Plan $158 451%

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Facility Profile & Credentials

  • Address: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals