CMS Price Transparency Data

Physical therapy (gait training)

Facility: Denver Health & Hospital Authority

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$43
about 1.5× the $29 Medicare rate · typically $31–$96
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
About the fair price
about $4 over the fair price · 1.6× Medicare
Medicare pays $29 Fair price $43 This hospital $47 Cash price $37 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $27 Priciest $47

Black dot = this hospital, among the 9 CO 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). Denver Health & Hospital Authority charges insurers about $47, or about $37 in cash — about the fair price. Located in Denver, CO.

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 $78 268%
Blue Cross Blue Shieldmajor $2,046 7041%
Aetnamajor $30 - $45 103%
Cignamajor $269 926%
+ 3 smaller / regional plans $30 - $49

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 777 Bannock St, Denver, CO 80204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals