CMS Price Transparency Data
Physical therapy (gait training)
Facility: St Vincent's 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 $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 - $250 | 103% |
| Blue Cross Blue Shieldmajor | $30 - $202 | 103% |
| Aetnamajor | $30 - $210 | 103% |
| Cignamajor | $245 | 843% |
| Molina | $30 - $225 | 103% |
| Tufts Health Plan | $30 | 103% |
| WellCare | $30 | 103% |
| + 1 smaller / regional plan | $30 |
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Other Procedures at St Vincent's Medical Center
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.