CMS Price Transparency Data

Physical therapy (gait training)

Facility: Mount Sinai Rehabilitation Hospital Inc

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–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
Well above the fair price
about $75 over the fair price · 4.3× Medicare
Medicare pays $29 Fair price $51 This hospital $126 Cash price $162 Hospital's list price $294

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Highest price of the 9 CT hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $126

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). Mount Sinai Rehabilitation Hospital Inc charges insurers about $126, or about $162 in cash — well above the fair price. Located in Hartford, 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 $51. 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.

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 - $224 103%
Blue Cross Blue Shieldmajor $30 - $126 103%
Aetnamajor $30 - $299 103%
Cignamajor $31 - $112 107%
Kaiser Permanentemajor $126 434%
Dean Health Plan $200 688%
GEHA $224 771%
Harvard Pilgrim $224 771%
HealthPartners $112 385%
MagnaCare $112 385%
MVP Health Care $200 688%
Paramount $200 688%
UniCare $126 434%
+ 31 smaller / regional plans $31 - $402
Government programs also on file: Medicare.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 490 Blue Hills Ave, Hartford, CT 06112
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL