Physical therapy (gait training)
Facility: Ascension St Vincent's Clay County
Billing Code: 97116 (CPT)
This hospital's typical commercial price is $35 compared to the $29 fair price benchmark.
3-Star CMS clinical quality rating paired with 1.21× fair market pricing.
Highest price of the 9 FL hospitals we have prices for — worth calling around.
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 $29 (about 1.0× the $29 Medicare rate). Ascension St Vincent's Clay County charges insurers about $35, or about $30 in cash — above the fair price. Located in Middleburg, FL.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $29. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $28 | 96% |
| Blue Cross Blue Shieldmajor | $28 | 96% |
| Aetnamajor | $28 - $266 | 96% |
| Cignamajor | $28 - $29 | 96% |
| Humanamajor | $27 - $70 | 93% |
| Ambetter (Centene) | $53 | 182% |
| AvMed | $51 | 175% |
| Bright Health | $38 - $41 | 131% |
| Molina | $52 | 179% |
| Oscar Health | $45 | 155% |
| WellCare | $28 | 96% |
| + 10 smaller / regional plans | $28 - $63 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Ascension St Vincent's Clay County
Compare: Physical therapy (gait training) at other FL hospitals
- Fishermen's Community Hospital · Marathon $18
- Halifax Health Medical Center · Daytona Beach $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
- Morton Plant Hospital · Clearwater $22
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Ascension St Vincent's Clay County (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $29
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $29).
Self-Pay Cash Rate ($30) Beats Your Bill
Ascension St Vincent's Clay County's published 45 CFR § 180 self-pay cash rate is $30 (vs. $35 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $29 Fair BaseRate ($29 Medicare)
Your bill ($80) is $51 above the denoised Fair BaseRate ($29) and 2.8× the $29 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.