CMS Price Transparency Data

Physical therapy (gait training)

Facility: Saint Mary's Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$51
about 1.8× the $29 Medicare rate · typically $29–$124
modeled estimate · not a bill or quote
What this hospital charges insurers
$35
Below the fair price — a good deal
about $16 under the fair price · 1.2× Medicare
Medicare pays $29 Fair price $51 This hospital $35 Cash price $94 Hospital's list price $171

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 5 charge more and 3 charge less, among the 9 CT hospitals compared.

Cheapest $30 Priciest $98

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 $51 (about 1.8× the $29 Medicare rate). Saint Mary's Hospital charges insurers about $35, or about $94 in cash — below the fair price — a good deal. Located in Waterbury, 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 $30 - $314 103%
Blue Cross Blue Shieldmajor $27 - $35 93%
Aetnamajor $30 - $135 103%
Cignamajor $31 - $336 107%
Kaiser Permanentemajor $35 120%
Dean Health Plan $132 454%
GEHA $314 1081%
Harvard Pilgrim $314 1081%
HealthPartners $336 1156%
MagnaCare $336 1156%
MVP Health Care $132 454%
Paramount $132 454%
UniCare $35 120%
+ 34 smaller / regional plans $31 - $336
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals