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Therapy Procedure Using Functional Activities Cost in Massachusetts
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 52 Massachusetts hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $137
📉 Low $43.10
📈 High $380
🏥 52 hospitals
🏛️ 24 with insurance contracts
🇺🇸 Medicare $37.91
Hospital comparison — Massachusetts
Sorted by cash price (lowest first). Showing top 52 of 52 hospitals.
Billed more than $137 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Centene | Humana | First Health |
|---|---|---|---|---|---|---|---|---|---|
| HEBREW REHABILITATION CENTER AT NEWBRIDGE DEDHAM |
$43.10 | — | — | — | — | — | — | — | — |
| STURDY MEMORIAL HOSPITAL ATTLEBORO |
$46.81 | $39.52 | $39.52 | $39.52 | $90.00 | — | $39.52 | — | — |
| VIBRA HOSPITAL OF WESTERN MASS CENTRAL CAMPUS ROCHDALE |
$61.00 | — | — | — | — | — | — | — | — |
| TOBEY HOSPITAL WAREHAM |
$63.00 | — | — | — | — | — | — | — | — |
| CHARLTON MEMORIAL HOSPITAL FALL RIVER |
$63.00 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HOSPITAL NEW BEDFORD |
$63.00 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - BRIGHTON BRIGHTON |
$67.81 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - SOUTH BROCKTON |
$71.51 | — | — | — | — | — | — | — | — |
| FRANCISCAN HOSPITAL FOR CHILDREN BRIGHTON |
$72.00 | $71.00 | $83.86 | $63.45 | $150 | — | — | — | — |
| VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS NEW BEDFORD |
$74.42 | — | $74.42 | — | — | — | — | — | $74.42 |
| MERCY MEDICAL CENTER - SPRINGFIELD SPRINGFIELD |
$85.15 | — | — | — | — | — | — | — | — |
| HEYWOOD HOSPITAL GARDNER |
$90.00 | $109 | $68.69 | $577 | $216 | — | — | — | — |
| ATHOL HOSPITAL ATHOL |
$98.00 | $92.01 | $68.69 | $577 | $97.03 | — | — | — | — |
| LOWELL GENERAL - SAINTS CAMPUS LOWELL |
$102 | — | — | — | — | — | — | — | — |
| COOLEY DICKINSON HOSPITAL NORTHAMPTON |
$102 | — | — | — | — | — | — | — | — |
| MELROSE WAKEFIELD HOSPITAL MELROSE |
$113 | — | — | — | — | — | — | — | — |
| SOUTH SHORE HOSPITAL SOUTH WEYMOUTH |
$122 | $68.92 | $36.30 | $39.43 | — | — | — | — | — |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL BROCKTON |
$130 | $108 | $33.66 | $237 | $46.24 | — | — | $36.01 | — |
| SPAULDING REHABILITATION HOSPITAL CAPE COD SANDWICH |
$133 | — | — | — | — | — | — | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON SUMNER STREET STOUGHTON |
$134 | — | — | — | — | — | — | — | — |
| CAPE COD HOSPITAL HYANNIS |
$135 | $39.02 | $95.00 | $36.30 | $81.75 | $95.00 | — | — | — |
| FALMOUTH HOSPITAL FALMOUTH |
$135 | $39.02 | $95.00 | $36.30 | $90.93 | $95.00 | — | — | — |
| MASS GENERAL BRIGHAM SALEM HOSPITAL SALEM |
$137 | — | — | — | — | — | — | — | — |
| NEWTON WELLESLEY HOSPITAL NEWTON |
$137 | — | — | — | — | — | — | — | — |
| SPAULDING REHABILITATION HOSPITAL BOSTON BOSTON |
$137 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S FAULKNER HOSPITAL BOSTON |
$137 | — | — | — | — | — | — | — | — |
| MARTHA'S VINEYARD HOSPITAL OAK BLUFFS |
$140 | — | — | — | — | — | — | — | — |
| NANTUCKET COTTAGE HOSPITAL NANTUCKET |
$146 | — | — | — | — | — | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD |
$149 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER BOSTON |
$151 | — | — | — | — | — | — | — | — |
| DANA-FARBER CANCER INSTITUTE BOSTON |
$155 | — | — | — | — | — | — | — | — |
| TUFTS MEDICAL CENTER BOSTON |
$164 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S HOSPITAL BOSTON |
$184 | — | — | — | — | — | — | — | — |
| MASSACHUSETTS GENERAL HOSPITAL BOSTON |
$184 | — | — | — | — | — | — | — | — |
| SHRINERS CHILDREN'S BOSTON BOSTON |
$195 | $33.15 | $39.52 | $167 | $130 | $85.00 | $22.00 | — | — |
| UMASS MEMORIAL HOSPITAL - HARRINGTON HOSPITAL SOUTH ST SOUTHBRIDGE |
$200 | — | — | — | — | — | — | — | — |
| BOSTON CHILDREN'S LEXINGTON LEXINGTON |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL BROOKLINE BROOKLINE |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL MARTHA ELIOT HEALTH CENTER BOSTON |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL WEYMOUTH WEYMOUTH |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S NEEDHAM NEEDHAM |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL BOSTON |
$209 | $118 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL PEABODY PEABODY |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL WALTHAM WALTHAM |
$209 | $118 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| BOSTON CHILDREN'S HOSPITAL NORTH DARTMOUTH BUILDING 200 |
$209 | $138 | $125 | $125 | $178 | $192 | $132 | $188 | $192 |
| UMASS MEMORIAL MEDICAL CENTER - MARLBOROUGH CAMPUS BELMONT STREET WORCESTER |
$212 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL HEALTH ALLIANCE - CLINTON HOSPITAL HOSPITAL RD. LEOMINSTER |
$243 | — | — | — | — | — | — | — | — |
| MILFORD REGIONAL MEDICAL CENTER MILFORD |
$300 | $35.97 | $35.97 | $81.00 | $463 | — | — | — | — |
| LEONARD MORSE HOSPITAL NATICK |
$307 | $82.08 | — | — | — | — | — | — | — |
| ST VINCENT HOSPITAL WORCESTER |
$307 | $102 | — | — | — | — | — | — | — |
| FRAMINGHAM UNION HOSPITAL FRAMINGHAM |
$307 | $82.08 | — | — | — | — | — | — | — |
| CHA CAMBRIDGE HOSPITAL CAMBRIDGE |
$380 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97530, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $98.00 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $137 for this?
That is the median of what the 52 Massachusetts 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 Massachusetts, Medicare reimburses about $37.91 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Massachusetts range from $43.10 to $380 — that means hospital cash prices are typically 3.6x 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 Massachusetts?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Massachusetts range from $43.10 to $380, with a median of $137. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Massachusetts?
- The cheapest Massachusetts hospital published cash price for this procedure is $43.10. 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.
Therapy procedure using functional activities in nearby states
Other procedures in Massachusetts
Methodology. Cash prices and insurance-negotiated rates published by each Massachusetts facility under federal price transparency rules (45 CFR § 180). CPT code 97530 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.