CMS Price Transparency Data
Physical therapy (gait training)
Facility: Phoenix Children's Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$102
about 3.5× the $29 Medicare rate · typically $27–$368
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $102 Hospital's list price $237
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 | $557 - $637 | 1917% |
| Blue Cross Blue Shieldmajor | $130 - $176 | 447% |
| Aetnamajor | $109 - $174 | 375% |
| Cignamajor | $165 - $473 | 568% |
| + 3 smaller / regional plans | $95 - $154 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's Hospital
Compare: Physical therapy (gait training) at other AZ hospitals
- Abrazo Scottsdale Campus · Phoenix $14
- Abrazo Arrowhead Hospital · Glendale $14
- Canyon Vista Medical Center · Sierra Vista $27
- Verde Valley Medical Center · Cottonwood $28
- Yuma Regional Medical Center · Yuma $28
- Flagstaff Medical Center · Flagstaff $28
- PAM Health Rehabilitation Hospital of Surprise · Surprise $28
- Valleywise Health Medical Center · Phoenix $29
Insurance negotiated median for the same procedure, sorted lowest first.