CMS Price Transparency Data

Physical therapy (gait training)

Facility: St Francis Hospital & Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.7× the $29 Medicare rate · typically $29–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$33
Below the fair price — a good deal
about $17 under the fair price · 1.1× Medicare
Medicare pays $29 Fair price $50 This hospital $33 Cash price $162 Hospital's list price $294

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 6 of 8 other CT hospitals charge more for the same procedure.

Cheapest $30 Priciest $98

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $50 (about 1.7× the $29 Medicare rate). St Francis Hospital & Medical Center charges insurers about $33, or about $162 in cash — below the fair price — a good deal. Located in Hartford, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $31 - $433 107%
Blue Cross Blue Shieldmajor $27 - $33 93%
Aetnamajor $30 - $218 103%
Cignamajor $31 - $235 107%
Kaiser Permanentemajor $33 114%
Dean Health Plan $200 688%
GEHA $433 1490%
Harvard Pilgrim $433 1490%
HealthPartners $134 461%
MagnaCare $134 461%
MVP Health Care $200 688%
Paramount $200 688%
UniCare $33 114%
+ 31 smaller / regional plans $31 - $250
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals