Therapy Procedure Using Functional Activities Cost in Connecticut
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 18 Connecticut hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Connecticut
Sorted by cash price (lowest first). Showing top 18 of 18 hospitals.
| Hospital | Cash | Aetna | Cigna | UHC | BCBS | MultiPlan | Centene | Medicare | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| WATERBURY HOSPITAL WATERBURY |
$71.75 | $41.37 | $49.45 | $232 | — | — | — | — | — |
| CONNECTICUT CHILDRENS MEDICAL CENTER HARTFORD |
$78.60 | — | — | — | — | — | — | — | — |
| SAINT MARYS HOSPITAL WATERBURY |
$83.60 | — | — | — | — | — | — | — | — |
| GAYLORD HOSPITAL WALLINGFORD |
$89.35 | $36.98 | $102 | $36.98 | — | $102 | — | — | — |
| BRISTOL HOSPITAL BRISTOL |
$92.95 | $36.82 | $281 | $36.82 | — | $137 | $36.82 | — | — |
| JOHNSON MEMORIAL HOSPITAL STAFFORD SPRINGS |
$109 | — | — | — | — | — | — | — | — |
| HOSPITAL FOR SPECIAL CARE NEW BRITAIN |
$119 | $49.00 | $107 | $134 | — | — | — | — | — |
| LAWRENCE + MEMORIAL HOSPITAL NEW LONDON |
$137 | $45.93 | $226 | $27.19 | — | $340 | — | $40.71 | $22.33 |
| SHARON HOSPITAL PO BOX 789 |
$140 | $36.98 | — | — | $128 | — | — | — | — |
| ST FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD |
$184 | — | — | — | — | — | — | — | — |
| MOUNT SINAI REHABILITATION HOSPITAL HARTFORD |
$184 | — | — | — | — | — | — | — | — |
| BRIDGEPORT HOSPITAL BRIDGEPORT |
$199 | $110 | $110 | $110 | — | $110 | — | $110 | $110 |
| GREENWICH HOSPITAL GREENWICH |
$199 | $46.77 | $152 | $36.53 | — | $248 | — | $32.07 | $187 |
| HSS STAMFORD STAMFORD |
$221 | $204 | $185 | $3.20 | $103 | — | — | — | — |
| NORWALK HOSPITAL NORWALK |
$223 | $37.16 | $38.09 | — | $68.37 | — | $37.72 | — | — |
| YALE-NEW HAVEN HOSPITAL NEW HAVEN |
$225 | $37.78 | $158 | $36.80 | — | — | — | $37.37 | $16.05 |
| NEW MILFORD HOSPITAL NEW MILFORD |
$232 | $37.16 | $38.09 | — | $68.50 | — | $37.72 | — | — |
| DANBURY HOSPITAL DANBURY |
$232 | $37.16 | $38.09 | — | $68.50 | — | $37.72 | — | — |
That is the median of what the 18 Connecticut hospitals above publish for Therapy procedure using functional activities — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97530 in Connecticut, Medicare reimburses about $36.98 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Connecticut range from $71.75 to $232 — that means hospital cash prices are typically 3.8x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does therapy procedure using functional activities cost in Connecticut?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Connecticut range from $71.75 to $232, with a median of $140. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Connecticut?
- The cheapest Connecticut hospital published cash price for this procedure is $71.75. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.