CMS Price Transparency Data
Physical therapy (gait training)
Facility: Hartford 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 $27–$162
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $50 Cash price $123 Hospital's list price $123
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 - $275 | 103% |
| Blue Cross Blue Shieldmajor | $30 - $228 | 103% |
| Aetnamajor | $30 - $210 | 103% |
| Cignamajor | $178 | 613% |
| Molina | $30 - $258 | 103% |
| Tufts Health Plan | $30 | 103% |
| WellCare | $30 | 103% |
| + 2 smaller / regional plans | $30 - $275 |
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Other Procedures at Hartford Hospital
Compare: Physical therapy (gait training) at other CT hospitals
- Gaylord Hospital · Wallingford $30
- Bristol Hospital · Bristol $32
- St Francis Hospital & Medical Center · Hartford $33
- Saint Mary's Hospital · Waterbury $35
- John Dempsey Hospital of the University of Connect · Farmington $51
- Connecticut Childrens Medical Center · Hartford $72
- Midstate Medical Center · Meriden $95
- Windham Community Memorial Hospital · Willimantic $96
Insurance negotiated median for the same procedure, sorted lowest first.