Physical therapy (gait training)
Facility: Broward Health Imperial Point
Billing Code: 97116 (CPT)
- CPT Billing Code: 97116
- Insurance Median: $107
- Cash Discount Price: $166
- vs. Medicare Baseline: 3.68x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 368% of the Medicare baseline (a markup of 268%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $10 - $190 | 34% |
| Community Care Plan | $24 - $30 | 83% |
| Careplus Health Plan | $30 | 103% |
| Florida Pace Center | $30 | 103% |
| Humana | $30 | 103% |
| Medica Healthcare | $30 | 103% |
| Preferred Care Partners | $30 | 103% |
| United Aarp | $30 | 103% |
| United/Wellmed | $30 | 103% |
| Clear Springs Healthcare | $31 | 107% |
| Devoted | $31 - $83 | 107% |
| Doctor'S Healthcare | $31 | 107% |
| Amerihealth Caritas | $32 | 110% |
| Freedom Health | $37 - $46 | 127% |
| Healthsun Health Plan | $37 - $46 | 127% |
| Simply Healthcare | $37 - $46 | 127% |
| Wellpath | $52 - $64 | 179% |
| Wellcare | $74 - $92 | 255% |
| Sunshine State Health Plan Healthy Kids | $82 - $101 | 282% |
| Curative Administrators, Llc | $89 - $110 | 306% |
| Wellcare Healthy Kids | $89 - $110 | 306% |
| Tour + Med Assistance International | $96 - $120 | 330% |
| Gmmi/Canadian Medical Network | $104 - $129 | 358% |
| Quality Health Management | $104 - $129 | 358% |
| Trident Global Assistance International | $104 - $129 | 358% |
| United International | $104 - $129 | 358% |
| Us Maritime Consultants | $104 - $129 | 358% |
| Dimension Health/International Plus | $119 - $147 | 409% |
| Medcare International | $119 - $147 | 409% |
| Seguro Reservas International | $119 - $147 | 409% |
| Star Healthcare Network | $119 - $147 | 409% |
| Viking Cruises | $119 - $147 | 409% |
| World Medical Management Solutions | $119 - $147 | 409% |
| Neighborhood Health Partnership | $170 | 585% |
| United | $170 | 585% |
| Avmed | $179 - $186 | 616% |
| Cigna | $237 | 816% |