CMS Price Transparency Data

Physical therapy (gait training)

Facility: PAM Rehabilitation Hospital of Dover

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 1.1× the $29 Medicare rate · typically $28–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $29 Fair price $31 This hospital $28 Cash price $112 Hospital's list price $112

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 7 DE hospitals we have prices for — a strong deal.

Cheapest $28 Priciest $60

Black dot = this hospital, among the 7 DE 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 $31 (about 1.1× the $29 Medicare rate). PAM Rehabilitation Hospital of Dover charges insurers about $28, or about $112 in cash — about the fair price. Located in Dover, DE.

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 $55 189%
Blue Cross Blue Shieldmajor $28 - $31 96%
Aetnamajor $19 65%
Cignamajor $120 413%
+ 4 smaller / regional plans $28 - $84
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

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Facility Profile & Credentials

  • Address: 1240 McKee Rd, Dover, DE 19904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL