CMS Price Transparency Data

Physical therapy (gait training)

Facility: Johnson Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$50
about 1.7× the $29 Medicare rate · typically $28–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
Well above the fair price
about $51 over the fair price · 3.5× Medicare
Medicare pays $29 Fair price $50 This hospital $101 Cash price $86 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

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

Cheapest $30 Priciest $101

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

A fair price for a Physical therapy (gait training) is about $50 (about 1.7× the $29 Medicare rate). Johnson Memorial Hospital charges insurers about $101, or about $86 in cash — well above the fair price. Located in Stafford Springs, CT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $50. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $30 - $369 103%
Blue Cross Blue Shieldmajor $30 - $101 103%
Aetnamajor $30 - $122 103%
Cignamajor $31 - $143 107%
Kaiser Permanentemajor $101 348%
Dean Health Plan $130 447%
GEHA $369 1270%
Harvard Pilgrim $369 1270%
HealthPartners $143 492%
MagnaCare $143 492%
MVP Health Care $130 447%
Paramount $130 447%
UniCare $101 348%
+ 33 smaller / regional plans $31 - $314
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals