CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: The Miriam 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
$71
About the fair price
2.0× Medicare
Medicare pays $35 Fair price $71 This hospital $71 Cash price $132 Hospital's list price $132

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

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). The Miriam Hospital charges insurers about $71, 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 $36 - $84 103%
Aetnamajor $37 106%
Cignamajor $202 576%
Tufts Health Plan $134 382%
+ 1 smaller / regional plan $66

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals