CMS Price Transparency Data

Physical therapy (gait training)

Facility: Fresno Surgical Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$27
about 0.9× the $29 Medicare rate · typically $17–$62
modeled estimate · not a bill or quote
What this hospital charges insurers
$16
Below the fair price — a good deal
about $11 under the fair price · 0.6× Medicare
Medicare pays $29 Fair price $27 This hospital $16 Hospital's list price $196

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

One of the lower prices — 4 of 8 other CA hospitals charge more for the same procedure.

Cheapest $13 Priciest $18

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 $27 (about 0.9× the $29 Medicare rate). Fresno Surgical Hospital charges insurers about $16 — below the fair price — a good deal. Located in Fresno, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $20 69%
+ 1 smaller / regional plan $11

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Facility Profile & Credentials

  • Address: 6125 North Fresno St, Fresno, CA 93710
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals