CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Central Vermont Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$75
about 2.1× the $35 Medicare rate · typically $33–$144
modeled estimate · not a bill or quote
What this hospital charges insurers
$147
Well above the fair price
about $72 over the fair price · 4.2× Medicare
Medicare pays $35 Fair price $75 This hospital $147 Cash price $149 Hospital's list price $149

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Highest price of the 7 VT hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $147

Black dot = this hospital, among the 7 VT hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $75 (about 2.1× the $35 Medicare rate). Central Vermont Medical Center charges insurers about $147, or about $149 in cash — well above the fair price. Located in Barre, VT.

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 $75. 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.

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 $147 - $148 419%
Blue Cross Blue Shieldmajor $147 419%
Aetnamajor $68 - $129 194%
Cignamajor $140 399%
Humanamajor $60 171%
Harvard Pilgrim $119 339%
MVP Health Care $36 - $137 103%
+ 2 smaller / regional plans $95 - $119
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: Box 547, Barre, VT 05641
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals