Occupational therapy (therapeutic activities)
Facility: Copley Hospital
Billing Code: 97530 (CPT)
This hospital's typical commercial price is $98 compared to the $49 fair price benchmark.
2-Star CMS clinical quality rating paired with 2.00× fair market pricing.
On the higher side — 7 of 8 other VT hospitals charge less.
Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.
A fair price for a Occupational therapy (therapeutic activities) is about $49 (about 1.4× the $35 Medicare rate). Copley Hospital charges insurers about $98, or about $111 in cash — well above the fair price. Located in Morrisville, 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 $49. 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.
3 of 6 major insurers have a published price at this hospital
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 | $54 - $138 | 154% |
| Blue Cross Blue Shieldmajor | $54 - $121 | 154% |
| Cignamajor | $119 - $138 | 339% |
| Harvard Pilgrim | $54 - $128 | 154% |
| MVP Health Care | $54 - $113 | 154% |
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.
Other Procedures at Copley Hospital
Compare: Occupational therapy (therapeutic activities) at other VT hospitals
- Brattleboro Memorial Hospital · Brattleboro $34
- Southwestern Vermont Medical Center · Bennington $34
- Northeastern Vermont Regional Hospital · Saint Johnsbury $35
- Grace Cottage Hospital · Townshend $38
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $39
- Springfield Hospital · Springfield $46
- Porter Hospital Inc · Middlebury $83
- Central Vermont Medical Center · Barre $147
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Copley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $50
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $50).
Self-Pay Cash Rate ($111) Beats Your Bill
Copley Hospital's published 45 CFR § 180 self-pay cash rate is $111 (vs. $98 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $49 Fair BaseRate ($35 Medicare)
Your bill ($139) is $90 above the denoised Fair BaseRate ($49) and 4.0× the $35 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.