CMS Price Transparency Data

Physical therapy (gait training)

Facility: Connecticut Childrens Medical Center

Billing Code: 97116 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$65
about 2.2× the $29 Medicare rate · typically $29–$128
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
About the fair price
about $7 over the fair price · 2.5× Medicare
Medicare pays $29 Fair price $65 This hospital $72 Cash price $81 Hospital's list price $135

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CT hospitals compared.

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 $65 (about 2.2× the $29 Medicare rate). Connecticut Childrens Medical Center charges insurers about $72, or about $81 in cash — about the fair price. Located in Hartford, CT.

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✓ Humana Kaiser 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 $98 - $532 337%
Blue Cross Blue Shieldmajor $72 - $102 248%
Aetnamajor $254 - $282 874%
Cignamajor $225 774%
Humanamajor $282 970%
CDPHP $115 396%
Harvard Pilgrim $98 - $532 337%
HealthPartners $225 774%
MVP Health Care $225 774%
Tufts Health Plan $225 774%
UniCare $72 - $102 248%
+ 9 smaller / regional plans $115 - $532
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 282 Washington Street, Hartford, CT 06106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens