Therapy Procedure Using Functional Activities Cost in Vermont
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Vermont hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Vermont
Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.
| Hospital | Cash | UHC | Aetna | Cigna | BCBS | Humana | Centene | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| GRACE COTTAGE HOSPITAL TOWNSHEND |
$91.00 | $98.00 | $111 | $108 | $114 | $34.00 | — | — | — |
| SPRINGFIELD HOSPITAL SPRINGFIELD |
$91.00 | $46.00 | $115 | $85.00 | $121 | — | $47.00 | $100 | — |
| BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBORO |
$103 | $34.31 | $143 | $34.31 | $33.89 | $34.31 | $36.03 | $41.18 | — |
| NORTHWESTERN MEDICAL CENTER SAINT ALBANS |
$113 | $34.31 | $34.31 | $34.31 | — | $34.31 | — | — | $34.31 |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL ST. JOHNSBURY |
$114 | $144 | — | — | $56.36 | — | — | — | — |
| RUTLAND REGIONAL MEDICAL CENTER RUTLAND |
$146 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF VERMONT MEDICAL CENTER BURLINGTON |
$151 | $16.00 | $34.31 | $137 | $17.87 | $34.31 | $39.46 | — | — |
| MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER WINDSOR |
$200 | $238 | $238 | $233 | $223 | — | — | — | — |
That is the median of what the 8 Vermont 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 Vermont, Medicare reimburses about $34.71 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Vermont range from $91.00 to $200 — that means hospital cash prices are typically 3.2x 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 Vermont?
- Cash prices for therapy procedure using functional activities (CPT 97530) in Vermont range from $91.00 to $200, with a median of $113. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in Vermont?
- The cheapest Vermont hospital published cash price for this procedure is $91.00. 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.