CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Porter Hospital Inc

Billing Code: 97530 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$88
about 2.5× the $35 Medicare rate · typically $23–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $5 under the fair price · 2.4× Medicare
Medicare pays $35 Fair price $88 This hospital $83 Cash price $160 Hospital's list price $160

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

On the higher side — 4 of 6 other VT hospitals charge less.

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 $88 (about 2.5× the $35 Medicare rate). Porter Hospital Inc charges insurers about $83, or about $160 in cash — about the fair price. Located in Middlebury, VT.

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✓ Cigna HumanaKaiser 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 $41 - $158 117%
Blue Cross Blue Shieldmajor $77 - $150 220%
Aetnamajor $75 - $141 214%
Cignamajor $146 416%
Fidelis Care $68 194%
Harvard Pilgrim $128 365%
MVP Health Care $41 - $149 117%
+ 3 smaller / regional plans $75 - $152
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals