CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Gaylord Hospital

Billing Code: 97110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 1.6× the $29 Medicare rate · typically $29–$112
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Below the fair price — a good deal
about $15 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $45 This hospital $30 Cash price $82 Hospital's list price $122

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 7 of 8 other CT hospitals charge more for the same procedure.

Cheapest $18 Priciest $95

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 (therapeutic exercise) is about $45 (about 1.6× the $29 Medicare rate). Gaylord Hospital charges insurers about $30, or about $82 in cash — below the fair price — a good deal. Located in Wallingford, CT.

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 - $160 103%
Blue Cross Blue Shieldmajor $30 - $119 103%
Aetnamajor $30 - $300 103%
Cignamajor $94 - $203 323%
Harvard Pilgrim $99 - $117 341%
+ 2 smaller / regional plans $30 - $238
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL