CMS Price Transparency Data

Physical therapy (gait training)

Facility: Windham Community Memorial Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 1.7× the $29 Medicare rate · typically $27–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
Well above the fair price
about $47 over the fair price · 3.3× Medicare
Medicare pays $29 Fair price $49 This hospital $96 Cash price $123 Hospital's list price $123

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

On the higher side — 7 of 8 other CT hospitals charge less.

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 $49 (about 1.7× the $29 Medicare rate). Windham Community Memorial Hospital charges insurers about $96, or about $123 in cash — well above the fair price. Located in Willimantic, 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 $49. 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.

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 $30 103%
Blue Cross Blue Shieldmajor $30 - $240 103%
Aetnamajor $30 - $225 103%
Cignamajor $161 554%
Molina $30 - $250 103%
Tufts Health Plan $30 103%
WellCare $30 103%
+ 1 smaller / regional plan $30

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 112 Mansfield Avenue, Willimantic, CT 06226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals