CMS Price Transparency Data

Physical therapy (gait training)

Facility: The Children's Hospital of Alabama

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$105
about 3.6× the $29 Medicare rate · typically $41–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
About the fair price
about $3 under the fair price · 3.5× Medicare
Medicare pays $29 Fair price $105 This hospital $102 Cash price $44 Hospital's list price $102

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $102

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $105 (about 3.6× the $29 Medicare rate). The Children's Hospital of Alabama charges insurers about $102, or about $44 in cash — about the fair price. Located in Birmingham, AL.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $61 - $80 210%
Aetnamajor $87 299%
Cignamajor $83 - $102 286%
+ 3 smaller / regional plans $70 - $92

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Facility Profile & Credentials

  • Address: 1600 Seventh Avenue South, Birmingham, AL 35233
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens