CMS Price Transparency Data

Physical therapy (gait training)

Facility: UCI Health-Orange

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $34–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
About the fair price
about $2 under the fair price · 1.4× Medicare
Medicare pays $29 Fair price $43 This hospital $41 Cash price $69 Hospital's list price $173

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $13 Priciest $41

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

A fair price for a Physical therapy (gait training) is about $43 (about 1.5× the $29 Medicare rate). UCI Health-Orange charges insurers about $41, or about $69 in cash — about the fair price. Located in Orange, CA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente UnitedHealthcareCignaHumana

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
Blue Cross Blue Shieldmajor $32 110%
Aetnamajor $30 103%
Kaiser Permanentemajor $35 - $79 120%
Health Net $31 107%
Oscar Health $52 179%
+ 5 smaller / regional plans $34 - $49

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 101 City Drive South, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals