CMS Price Transparency Data

Physical therapy (gait training)

Facility: Medstar Georgetown University Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$37
about 1.3× the $29 Medicare rate · typically $33–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
About the fair price
about $3 under the fair price · 1.2× Medicare
Medicare pays $29 Fair price $37 This hospital $34 Cash price $142 Hospital's list price $218

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

One of the lower prices — 1 of 3 other DC hospitals charge more for the same procedure.

Cheapest $33 Priciest $114

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Physical therapy (gait training) is about $37 (about 1.3× the $29 Medicare rate). Medstar Georgetown University Hospital charges insurers about $34, or about $142 in cash — about the fair price. Located in Washington, DC.

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 $32 - $76 110%
Blue Cross Blue Shieldmajor $32 - $185 110%
Aetnamajor $33 - $91 114%
Cignamajor $141 485%
Humanamajor $34 117%
Amerigroup $237 816%
AmeriHealth $237 816%
+ 2 smaller / regional plans $34 - $237
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 3800 Reservoir Rd, Washington, DC 20007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals