CMS Price Transparency Data

Physical therapy (gait training)

Facility: Gulf Breeze Hospital

Billing Code: 97116 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$35
about 1.2× the $29 Medicare rate · typically $28–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $29 Fair price $35 This hospital $38 Cash price $18 Hospital's list price $121

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $38

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (gait training) is about $35 (about 1.2× the $29 Medicare rate). Gulf Breeze Hospital charges insurers about $38, or about $18 in cash — about the fair price. Located in Gulf Breeze, FL.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $18 - $234 62%
Aetnamajor $14 - $151 48%
Cignamajor $57 - $121 196%
Humanamajor $19 - $38 65%
Simply Healthcare $21 72%
WellCare $19 - $39 65%
+ 11 smaller / regional plans $18 - $308
Government programs also on file: Medicare.
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: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals