CMS Price Transparency Data
Physical therapy (gait training)
Facility: Boca Raton Regional Hospital
Billing Code: 97116 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$54
about 1.9× the $29 Medicare rate · typically $29–$214
modeled estimate · not a bill or quote
Medicare pays $29 Fair price $54 Cash price $140 Hospital's list price $215
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 | $215 | 740% |
| Blue Cross Blue Shieldmajor | $30 - $215 | 103% |
| Aetnamajor | $30 - $77 | 103% |
| Cignamajor | $196 | 674% |
| Humanamajor | $31 | 107% |
| + 1 smaller / regional plan | $140 |
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Other Procedures at Boca Raton Regional Hospital
Compare: Physical therapy (gait training) at other FL hospitals
- Fishermen's Community Hospital · Marathon $18
- Halifax Health Medical Center · Daytona Beach $19
- Halifax Health /UF Health Medical Center of Delton · Deltona $19
- Baycare Alliant Hospital Inc · Dunedin $20
- Sarasota Memorial Hospital - Venice · North Venice $21
- Morton Plant North Bay Hospital · New Port Richey $22
- St Josephs Hospital · Tampa $22
- Bartow Regional Medical Center · Bartow $22
Insurance negotiated median for the same procedure, sorted lowest first.